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Edna Anghesom Tesfay, LPN

Licensed Practical Nurse in Hillsboro, OR. Individual provider (NPI-1).

NPI number1124433693
StatusActive
Last updated in NPPESJun 24, 2014

Details

NPI
1124433693
Entity type
Individual (NPI-1)
Name
Mrs. Edna Anghesom Tesfay
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2014
Last updated
Jun 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse201030531 LPNORYes

Practice location

140 Ne Greenridge Ter
Hillsboro, OR 97124-5160

Phone 314-387-8837

Mailing address

140 Ne Greeridge Terrace
Hillsboro, OR 97124

Phone 314-387-8837

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