MEDICARE: AIDA MENGISTU

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
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1427905140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDA MENGISTU

Provider Business Mailing Address
First Line	:	18004 MIDVALE AVE N APT 417
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-4426
Country	:	US
Telephone Number	:	206-371-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	18004 MIDVALE AVE N APT 417
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-4426
Country	:	US
Telephone Number	:	206-371-1202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ AIDA MENGISTU ” Practice Location

Language	Start Address	Practice Location

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