Individual provider · Type 1 NPI
Masho Hagos Gebremikael
Student in an Organized Health Care Education/Training Program · Portland, ME
NPI number
1124797139
Active
Practice location
225 Danforth St
Portland, ME 04102-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1124797139
Masho Hagos Gebremikael's National Provider Identifier is 1124797139, issued on Sep 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Sep 13, 2021.