Individual provider · Type 1 NPI
Luwan Tesafsilase
Driver · Happy Valley, OR
NPI number
1124816228
Active
Practice location
11150 SE Causey Cir
Happy Valley, OR 97086-4709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 881489249 (OR) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1124816228
Luwan Tesafsilase's National Provider Identifier is 1124816228, issued on Apr 28, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Happy Valley, OR. The record was last updated on Apr 28, 2025.