Admasu, Mariam Tesfaye
Admasu, Mariam Tesfaye is an individual health care provider with primary practice located at 2040 Se Powell Blvd , Portland OR 97202-2345. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Admasu, Mariam Tesfaye can be contacted via phone (503) 226-4060.Contact Information
Primary practice address
2040 Se Powell Blvd
Portland OR 97202-2345
Phone: (503) 226-4060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 23-QMHA-R-2206 | Oregon |
Profile Details
| NPI number | 1609557909 |
|---|---|
| LBN Legal business name | Admasu, Mariam Tesfaye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2023 |
| Last updated | Jul 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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