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Fantahun Tedla, P.A-C
NPI 1033548144 · on the registry since 2013
Practice
- Address
- 3927 Rucker Ave
Everett, WA 98201 - Phone
- (425) 339-5422
- Fax
- (425) 339-5444
- Organisation at this address
- Optum Care Washington Pllc
Optum Care Washington PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 269
Additional practice sites
- 419 Brooks St, Charleston, WV
- 419 Brooks St, Charleston, WV
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- WV, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington