TRAVIS ADAM FRIES (NPI# 1124629423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124629423 |
| Entity Type | Individual |
| Full Name | TRAVIS ADAM FRIES |
| Credential | PSS |
| Practice Address |
1420 Green Acres Rd Eugene OR 97408-1791 |
| Mailing Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5417624500 |
| Practice Fax Number | 5413389240 |
| Mailing Telephone | 5416844100 |
| Mailing Fax Number | 5416844156 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000002460 | OR | Other Service Providers |
| Street Address |
1420 GREEN ACRES RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645193 | Elliott Adams Gehr | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2014-02-27 |
| 1861093817 | Adam Hoffmann | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-11-05 |
| 1578102653 | Jeffrey Lee Holloway | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-01-06 |
| 1265077440 | Kristopher George Zellick | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2019-11-12 |
| 1962066472 | Steven Lee | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2019-04-30 |
| 1578126579 | Darryl Lambert | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2019-04-16 |
| 1063997930 | Jesse Strachan | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2018-09-26 |
| 1861981904 | Paul M. Rodriguez | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2018-05-03 |
| 1760921670 | Michael Neuberger | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2017-02-13 |
| 1003368564 | Bethany Tournade | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1053879361 | Carol Jeanne Hansen | Peer Specialist | 72a Centennial Loop Ste 150, Eugene, OR 97401-2447 | 2019-03-05 |
| 1558844324 | Roman Bezvikonnyi | Peer Specialist | 3086 Memory Ln, Eugene, OR 97404-1838 | 2018-09-07 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1497296222 | Maria Regina Sison-valenti | Peer Specialist | 72a Centennial Loop, Suite 150, Eugene, OR 97401-2444 | 2017-03-13 |
| 1700335858 | Christina Gail Kazlas | Peer Specialist | 111 N Garfield St, Eugene, OR 97402-2619 | 2016-09-30 |
| 1316396187 | Matthew Allen Harlan | Peer Specialist | 4300 Goodpasture Loop, Apt.# 11, Eugene, OR 97401-1458 | 2016-06-12 |
| 1265888127 | Chenoa Bostick | Peer Specialist | 2525 Portland St, Eugene, OR 97405-3153 | 2016-05-10 |
| 1770980906 | Paul Revis | Peer Specialist | 2525 Portland St Apt 19, Eugene, OR 97405-3107 | 2014-12-03 |
| 1568607935 | Randy Jay Gudeika | Peer Specialist | 2145 Centennial Plaza, Laurel Hill Center, Eugene, OR 97401-2421 | 2008-12-12 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on TRAVIS ADAM FRIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.