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1932900461
FASIL TULU
PORTLAND, OR
NPI
1932900461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 20220151RN)
Enumeration Date
2025-03-21
Last Update Date
2025-03-21
Business Address
FASIL TULU RN
5407 N MINNESOTA AVE
PORTLAND, OR 97217-4552
Phone number: 702-203-0010
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Mailing Address
FASIL TULU RN
5407 N MINNESOTA AVE
PORTLAND, OR 97217-4552
Phone number: 702-203-0100
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