Provider Demographics
NPI:1790522399
Name:ARRI, TILAHUN (RN)
Entity type:Individual
Prefix:
First Name:TILAHUN
Middle Name:
Last Name:ARRI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4863
Mailing Address - Country:US
Mailing Address - Phone:206-384-1784
Mailing Address - Fax:425-582-0355
Practice Address - Street 1:2006 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4863
Practice Address - Country:US
Practice Address - Phone:206-384-1784
Practice Address - Fax:425-582-0355
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60109927163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse