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NPI Code Detail

MEDICARE: ASPERGRIN ADHIAMBO ODERO

MEDICARE: ASPERGRIN ADHIAMBO ODERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse70100176WA

General Provider Information

NPI Number : 1396601951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASPERGRIN ADHIAMBO ODERO
Provider Business Mailing Address
First Line : 11419 23RD AVE W
Second Line :
City : EVERETT
State : WA
Zip : 98204-4789
Country : US
Telephone Number : 425-268-3703
Fax Number :
Provider Business Practice Location Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 04/06/2026

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Directions to “ ASPERGRIN ADHIAMBO ODERO ” Practice Location

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