ASEFA TEREFE WUBNEH
NPI 1447114319
Military Health Care Provider - Independent Duty Corpsman in Portland, OR

Active since December 15, 2025
16625 NE EVERETT CT, PORTLAND, OR 97230(503) 997-5469 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Asefa Terefe Wubneh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASEFA TEREFE WUBNEH (NPI 1447114319) is an individual independent duty corpsman provider in Portland, Oregon, licensed in Oregon (DZ186034) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1447114319
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameASEFA TEREFE WUBNEH
Location Address16625 NE EVERETT CTPortland, OR 97230-6243
Mailing Address16625 Ne Everett CtPortland, OR 97230-6243 · (503) 997-5469
Sole ProprietorYes
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1447114319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed in OR · DZ186034
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
16625 NE EVERETT CT, Portland, OR 97230

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Asefa Wubneh's NPI number?

The NPI number for Asefa Wubneh is 1447114319. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Asefa Wubneh located?

Asefa Wubneh practices at 16625 NE Everett Ct, Portland, OR 97230. The listed phone number is (503) 997-5469.

What is Asefa Wubneh's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Asefa Wubneh was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.