Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN FASOLD
Active Sole ProprietorNATHAN FASOLD is a Child & Adolescent Psychiatric Nurse healthcare provider located in PORTLAND, Oregon. NPI 1528200847 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · PORTLAND, OR
Registration Details
- NPI Number
- 1528200847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2009 (17.39382155834 yrs)
- Last Updated
- Nov 15, 2010
- License
-
200842345RN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5029 NE KILLINGSWORTH STPORTLAND, OR, 97218Browse OR providers · Browse ZIP 97218
- Phone
- 5034028117
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Adult Companion
Other Child & Adolescent Psychiatric Nurse Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SONJA LEA EATON | R.N. | 1518991660 |
| ROBIN SHUMAN | RN | 1386660058 |
| MS. CAROL UTTERBERG | PMHNP | 1386759769 |
| MS. ROBIN L PAISLEY | RN | 1912008954 |
| MRS. PATRICIA J. OSBORNE | PMHNP | 1467533778 |
| ALEIA LAVONNE COWAN | RN | 1013066141 |
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.