Ebisa Deressa
Ebisa Deressa is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.
- Licensed in
- OR
- In the registry since
- 2014
Practice location Address checks out
1123 N Hayden Meadows DrPortland, OR 97217-7547
Phone: (503) 205-6661
Fax: (503) 205-6661
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 13751 (OR) |
|---|
Record details
| NPI number | 1003224064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2014 |
| Last updated in NPPES | July 22, 2014 |
| Mailing address | 1123 N Hayden Meadows Dr, Portland, OR 97217-7547 |
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