Individual provider · Type 1 NPI

Cassondra Vaun Fredricks, RN, BAN, MBA

Registered Nurse · Portland, OR

NPI number 1225935943 Active

Practice location

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302

Fax (503) 416-4553

Mailing address

17396 SW Jay St Apt 103
Beaverton, OR 97003-7643

Other practice locations

  • 227 NW 3rd Ave, Canby, OR 97013-3601 · (503) 416-4547

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR44105 (ND)
Registered Nurse Primary 163W00000X10042991 (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1225935943

Cassondra Vaun Fredricks, RN, BAN, MBA's National Provider Identifier is 1225935943, issued on Oct 26, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2026.