Fasold, Nathan

Fasold, Nathan is an sole proprietor health care provider with primary practice located at 5029 Ne Killingsworth St , Portland OR 97218. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Related Providers / Adult Companion. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Fasold, Nathan can be contacted via phone (503) 402-8117.

Contact Information

Primary practice address
5029 Ne Killingsworth St Portland OR 97218
Phone: (503) 402-8117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 200842345RN Oregon
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1528200847
LBN Legal business name Fasold, Nathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2009
Last updated Nov 15th, 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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