Charles Sevidzem Fai
Charles Sevidzem Fai is a Case Manager/Care Coordinator in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
412 SW 12th AvePortland, OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 944-2595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1508907163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | November 1, 2010 |
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