Provider Demographics
NPI:1366165250
Name:ZERFU, ETHIOPIA
Entity type:Individual
Prefix:
First Name:ETHIOPIA
Middle Name:
Last Name:ZERFU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14900 INTERURBAN AVE S STE 271-131
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4635
Mailing Address - Country:US
Mailing Address - Phone:253-534-9351
Mailing Address - Fax:903-848-6318
Practice Address - Street 1:14900 INTERURBAN AVE S STE 271-131
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4635
Practice Address - Country:US
Practice Address - Phone:253-534-9351
Practice Address - Fax:903-848-6318
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60223604163WP0808X
WAAP61429556363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health