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Afshin Edrissi, DO
Student in an Organized Health Care Education/Training Program in Ellensburg, Washington
NPI 1588230072

Afshin Edrissi is a Student in an Organized Health Care Education/Training Program based in Yakima, WA. Afshin Edrissi practices in Ellensburg, WA and has the professional credentials of DO. The NPI Number for Afshin Edrissi is 1588230072 and holds a License No. OL61173835 (Washington).

The current practice location address for Afshin Edrissi is 521 E Mountain View Ave, Ellensburg, WA and can be reached out via phone at 509-962-1414 and via fax at 509-962-1408.

Location: 521 E Mountain View Ave, Ellensburg, WA, 98902-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588230072
Provider Name
Afshin Edrissi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
521 E Mountain View Ave, Ellensburg, WA, 98902-3550
Phone Number
509-962-1414
Fax Number
509-962-1408
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
521 E Mountain View Ave
City
Ellensburg
State
Washington
Zip
98926-3865
Phone Number
509-962-1414
Fax Number
509-962-1408
person
Provider Business Mailing Address Details
Address
521 E Mountain View Ave
City
Ellensburg
State
Washington
Zip
98926-3865
Phone Number
509-962-1414
Fax Number
509-962-1408
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OL61173835 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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