What is Beredu Watiyo's NPI number?

Beredu Watiyo's National Provider Identifier (NPI) is 1124919998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Beredu Watiyo's specialty?

Beredu Watiyo is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Beredu Watiyo located?

Beredu Watiyo's practice location on file with NPPES is 588 Se Walnut Ave, Dallas, OR 97338-2925.

What is Beredu Watiyo's phone number?

The practice phone number listed in the NPPES registry for Beredu Watiyo is (503) 265-9608.

Is Beredu Watiyo's NPI active?

Yes — Beredu Watiyo's NPI (1124919998) is active in the NPPES registry as of the last update on 2025-07-10.

IndividualActive

Beredu Watiyo

NPI 1124919998 · Community Health Worker · Dallas, OR

Beredu Watiyo is a Community Health Worker provider in Dallas, OR (NPI 1124919998).

Provider details

NPI number: 1124919998
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

588 Se Walnut Ave

Dallas, OR 97338-2925

Phone: (503) 265-9608

Street-level locationGet directions

More OR providers

Mailing address