NATHAN FASOLD NPI 1528200847

NPI Information

NPI: 1528200847
Provider Name: NATHAN FASOLD
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
5029 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218
Phone: (503) 402-8117
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Nathan Fasold is a psychiatric/mental health registered nurse in Portland, OR. Nathan Fasold NPI is 1528200847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5029 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218
Phone: (503) 402-8117

The enumeration date for this NPI number is 4/1/2009 and was last updated on 11/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion				No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	200842345RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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