DEFFO MEBRAT

GRESHAM, OR
NPI1932522166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200740288)
Enumeration Date2014-01-23
Last Update Date2014-01-23
Business Address
-- DEFFO MEBRAT
135 NW LINNEMAN AVE
GRESHAM, OR 97030-6248
Phone number: 971-678-0443
Mailing Address
-- DEFFO MEBRAT
135 NW LINNEMAN AVE
GRESHAM, OR 97030-6248
Phone number: 971-678-0443