NPI Profile for DEMIE SHIFERAW in MCMINNVILLE, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Social Worker |
104100000X |
| NPI Number | 1073031795 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/01/2017 | |
| Last updated | 03/27/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DEMIE SHIFERAW
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