Asfeha, Meseret Mehretab

Asfeha, Meseret Mehretab is an sole proprietor health care provider with primary practice located at 3327 Se 127Th Pl , Portland OR 97236-3218. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Asfeha, Meseret Mehretab can be contacted via phone (503) 502-5048.

Contact Information

Primary practice address
3327 Se 127Th Pl Portland OR 97236-3218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 4368954 Oregon

Profile Details

NPI number 1093396558
LBN Legal business name Asfeha, Meseret Mehretab
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2021
Last updated Apr 16th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093396558 NPPES
Oregon MEDICAID 47-1107956

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