Individual
FAYE BEDASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13041 SE ALDER ST, PORTLAND, OR 97233-1628
(503) 703-4539
(503) 200-1068
Mailing address
13041 SE ALDER ST, PORTLAND, OR 97233-1628
(503) 703-4539
(503) 200-1068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200940853RN
OR
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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