JENNIFER AMANDA FRAGA


Address: 2507 Christie Drive, Lake Oswego, OR 97224
Phone: 5036752230

JENNIFER AMANDA FRAGA (NPI# 1134652662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134652662
Entity Type Individual
Full Name JENNIFER AMANDA FRAGA
Other Name JENNIFER AMANDA NIELSEN
Credential BSW
Practice Address 2507 Christie Drive
Lake Oswego
OR 97224
Mailing Address 2507 Christie Drive
Lake Oswego
OR 97034
Practice Telephone 5036752230
Enumeration Date 2017-04-11
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
847 Ne 19th Ave, Suite 100, Portland, OR 97232 5032380769

Office Location

Street Address 2507 CHRISTIE DRIVE
City LAKE OSWEGO
State OR
Zip Code 97224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235277807 Kandi Denise Shearer Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2007-02-03
1376141622 Graciela Salamanca Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-10-09
1710597489 Adrian Bernard Echols Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-08-06
1205446002 Ada Allaire Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-08-06
1114537917 Jessica Lynn Blodgett Counselor 2507 Christie Drive, Lake Oswego, OR 97225 2020-08-06
1740808278 Issa Liley Ubidia-luckett Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-07-10
1477178911 Larissa Harper Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-06-10
1922633262 Novah L Ali-el Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-03-06
1831724178 Devon Martinez Counselor 2507 Christie Drive, Lake Oswego, OR 97034 2020-03-06
1144867110 Jenna Hadeed Counselor 2507 Christie Drive, Lake Oswego, OR 97035 2019-12-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973139 Katherine Raineri Psychologist 7213 Sw Hazel Fern Rd, Tigard, OR 97224 2019-07-10
1871064618 Stacey A Wenzel Speech-Language Pathologist 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 2018-12-05
1376010090 Meredith Rae Brezinski Physical Therapist 18019 Sw Boones Ferry Road, Tigard, OR 97224 2018-10-31
1649759358 Viktoriya A Chiliy Behavior Technician 15290 Sw Royalty Parkway, Tigard, OR 97224 2018-08-13
1609384866 Rachel E King Physical Therapist 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 2018-01-22
1689190134 Isabelle Cooper Klee Caballero Speech-Language Pathologist 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 2017-08-16
1427573146 Breanna M Sandefur Behavior Technician 15290 Sw Royalty Pkwy, Tigard, OR 97224 2017-08-03
1083141196 Krista Espenship Registered Nurse 8032 Sw Ashford St, Tigard, OR 97224 2017-05-19
1275067928 Emily Elizabeth Myers Behavioral Analyst 15290 Royalty Parkway, Tigard, OR 97224 2017-04-19
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
Find all providers in zip 97224

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457978819 Holly D Altson Counselor 4925 Parkview Dr Apt B, Lake Oswego, OR 97035-2441 2020-07-01
1033748306 Svetlana V Poroshina Counselor 5225 Jean Rd Apt 505, Lake Oswego, OR 97035-7155 2020-04-07
1730712688 Nicole Kammerlocher Counselor 14523 Westlake Dr Ste 17, Lake Oswego, OR 97035-7700 2020-02-19
1679054423 Holly Shumway Counseling Counselor 15100 Boones Ferry Rd Ste 850, Lake Oswego, OR 97035-3467 2018-08-28
1366946451 Kristy Car Makowichuk Counselor 630 B Avenue, Suite 9, Lake Oswego, OR 97034 2018-03-22
1396245858 Apricity Counseling & Consultation, LLC Counselor 630 B Ave Ste 9, Lake Oswego, OR 97034-2958 2018-02-20
1851824890 Amber Johnson Babar Counselor Centria Healthcare C/o Teirnie Hemelstrand, 5 Centerpoint Drive, Suite 400, Lake Oswego, OR 97035-8601 2017-04-06
1386098911 Janice Johnson Counselor 40 Mcnary Pkwy, Lake Oswego, OR 97035-1214 2016-04-20
1174993117 Cara Hart Counselor 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035-4291 2015-10-02
1790109064 Kathryn Sporing Counselor 14523 Westlake Dr # 19, Lake Oswego, OR 97035-7700 2014-02-07
Find all providers in LAKE OSWEGO

Competitor

Search similar providers

City LAKE OSWEGO
Zip Code 97224

Improve Information

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Dataset Information

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.

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