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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
847 Ne 19th Ave, Suite 100, Portland, OR 97232 | 5032380769 |
Street Address |
2507 CHRISTIE DRIVE |
City | LAKE OSWEGO |
State | OR |
Zip Code | 97224 |
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 |
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 Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
City | LAKE OSWEGO |
Zip Code | 97224 |
Please comment or provide details below to improve the information on JENNIFER AMANDA FRAGA.
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.