Provider Demographics
NPI:1306516414
Name:BELAY, ASKALE TSEHAYE
Entity type:Individual
Prefix:
First Name:ASKALE
Middle Name:TSEHAYE
Last Name:BELAY
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 1:2315 N 159TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6028
Mailing Address - Country:US
Mailing Address - Phone:206-922-9495
Mailing Address - Fax:
Practice Address - Street 1:2315 N 159TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-6028
Practice Address - Country:US
Practice Address - Phone:206-922-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60741304163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty