MR. MESERET MEHRETAB ASFEHA NPI 1093396558

NPI Information

NPI: 1093396558
Provider Name: MR. MESERET MEHRETAB ASFEHA
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
3327 SE 127TH PL
PORTLAND, OR
ZIP 97236
Phone: (503) 502-5048
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MR. Meseret Mehretab Asfeha is a driver in Portland, OR. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Meseret Mehretab Asfeha NPI is 1093396558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3327 SE 127TH PL
PORTLAND, OR
ZIP 97236-218
Phone: (503) 502-5048

The enumeration date for this NPI number is 4/16/2021 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		4368954	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47-1107956	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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