NPI 1811725021 · live from the CMS NPI Registry
Hawi Fantaye, RN, BSN
Registered Nurse, General Practice in Portland, OR. National Provider Identifier 1811725021, active.
NPI record
| NPI | 1811725021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 2327 Se 157th Ave, Portland, OR 97233 |
| Practice phone | 813-407-6718 |
| Enumerated | July 22, 2024 |
| Last updated | July 22, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 202108059RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.