Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES SEVIDZEM FAI
Active Sole ProprietorCHARLES SEVIDZEM FAI is a Case Manager healthcare provider located in PORTLAND, Oregon. NPI 1508907163 is currently active in the NPPES registry. Verify at CMS.
Case Manager · PORTLAND, OR
Registration Details
- NPI Number
- 1508907163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.531823511052 yrs)
- Last Updated
- Nov 1, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 SW 12TH AVEPORTLAND, OR, 972052329Browse OR providers · Browse ZIP 97205
- Phone
- 5032287134
- Fax
- 5039442595
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Other Case Manager Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. DUSTIN DANDLIKER | QMHA | 1467498386 |
| MS. JILLIAN SMITH | — | 1013945294 |
| MS. KIM HAMILTON | RN | 1447288576 |
| MS. CORTNEY PINION | — | 1235155094 |
| BEATRICE K JOHNSON | — | 1912070806 |
| ANDREW GUSTAFSON | — | 1376602367 |
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.