Nathan Fasold
Nathan Fasold is a Psychiatric/Mental Health Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
5029 NE Killingsworth StPortland, OR 97218
Phone: (503) 402-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 200842345RN (OR) |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1528200847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2009 |
| Last updated in NPPES | November 15, 2010 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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