Nathan Fasold Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI

1528200847

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0808X

License number

200842345RN (OR)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-04-01

Last updated

2010-11-15