Individual provider · NPI-1
Dejene Fenta Abetew, MD
Family Medicine, Geriatric Medicine · Tacoma, WA
NPI number1316631450
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1316631450
- Entity type
- Individual (NPI-1)
- Name
- Dejene Fenta Abetew
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2023
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | MDCE.ML.61438135 | WA | Yes |
Practice location
3020 S Union AveTacoma, WA 98409-3317
Phone 253-844-4327
Mailing address
917 Pacific Ave Ste 600Tacoma, WA 98402-4437
Phone 253-844-4327
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