Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEREDU WATIYO II
Active Sole ProprietorBEREDU WATIYO II is a Community Health Worker healthcare provider located in DALLAS, Oregon. NPI 1124919998 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DALLAS, OR
Registration Details
- NPI Number
- 1124919998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2025 (1.0587928918197 yrs)
- Last Updated
- Jul 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
588 SE WALNUT AVEDALLAS, OR, 973382925Browse OR providers · Browse ZIP 97338
- Phone
- 5032659608
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in DALLAS, OR
| Name | Credential | NPI |
|---|---|---|
| MR. EUGENE CARTER GRAUER | NONE | 1780838946 |
| MR. KIRK RUSSELL HILLEBRAND | RN | 1205104171 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.