Healthcare Provider Details

I. General information

NPI: 1336073410
Provider Name (Legal Business Name): MERHAWIT TEAME KAHSAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 PACIFIC HWY E
MILTON WA
98354-9654
US

IV. Provider business mailing address

4628 S HOLLY ST APT 126
SEATTLE WA
98118-3372
US

V. Phone/Fax

Practice location:
  • Phone: 253-220-6183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: