Active NPI
Fekadu Beyene
- Registered Nurse
- Beaverton, OR
National Provider Identifier
1699463943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201807452RN
- Practice address
- 210 SW 143Rd Ave
Beaverton, OR 97006-6151 - Phone
- (202) 352-1021
- Fax
- (503) 372-6369
- NPI assigned
- Apr 25, 2023
- Last updated
- Apr 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201807452RN | MD | Primary |
Addresses
Primary practice location
210 SW 143Rd Ave
Beaverton, OR 97006-6151
Mailing address
210 SW 143Rd Ave
Beaverton, OR 97006-6151
Phone (202) 352-1021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201807452RN | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1699463943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SW 143RD AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066151",
"telephone_number": "202-352-1021",
"fax_number": "503-372-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SW 143RD AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066151",
"telephone_number": "202-352-1021",
"fax_number": "503-372-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYENE",
"first_name": "FEKADU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "201807452RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.