Fai, Charles Sevidzem

Fai, Charles Sevidzem is an sole proprietor health care provider with primary practice located at 412 Sw 12Th Ave , Portland OR 97205-2329. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Fai, Charles Sevidzem can be contacted via phone (503) 228-7134.

Contact Information

Primary practice address
412 Sw 12Th Ave Portland OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 944-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508907163
LBN Legal business name Fai, Charles Sevidzem
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Nov 1st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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