Provider Demographics
NPI:1386431914
Name:DEGEFA, FREZER DEJENU (MD)
Entity type:Individual
Prefix:DR
First Name:FREZER
Middle Name:DEJENU
Last Name:DEGEFA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 ROCK CREEK FORD RD NW APT 110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1726
Mailing Address - Country:US
Mailing Address - Phone:202-631-8652
Mailing Address - Fax:
Practice Address - Street 1:917 PACIFIC AVE STE 600
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4437
Practice Address - Country:US
Practice Address - Phone:253-232-7495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program