SearchWashington104100000X

Andualem Tekile

NPI 1932996139 · on the registry since 2025 · sole proprietor

Practice

Address
13668 Se Eastgate Way
Bellevue, WA 98005
Phone
(929) 507-2284
Organisation at this address
Congregations For The Homeless Dba Porchlight
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-27

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