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NATHAN FASOLD
NPI 1528200847
Registered Nurse - Psychiatric/Mental Health in Portland, OR

Active since April 01, 2009
5029 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 402-8117 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Fasold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN FASOLD (NPI 1528200847) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200842345RN) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1528200847
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameNATHAN FASOLD
Location Address5029 NE KILLINGSWORTH STPortland, OR 97218
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 402-8117
Sole ProprietorYes
Enumeration DateApril 1, 2009
Last NPPES UpdateNovember 15, 2010
✔ NPI 1528200847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 200842345RN
Also ListedAdult CompanionTaxonomy 372600000X
5029 NE KILLINGSWORTH ST, Portland, OR 97218
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN RICHARDSON
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117
LISA ARMENTO
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117
MICHAEL BROSNAN
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117
REBECCA HODGE
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117
SHANNON MACKEY
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117
JOSHUA BARKER
Adult Companion
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 402-8117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Fasold's NPI number?

The NPI number for Nathan Fasold is 1528200847. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Nathan Fasold located?

Nathan Fasold practices at 5029 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 402-8117.

What is Nathan Fasold's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Nathan Fasold was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.