MR. FREDERICK FARMAN JOHNSON III (NPI# 1164794202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794202 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK FARMAN JOHNSON III |
| Credential | L.M.T. |
| Practice Address |
334 Ne Irving Avenue Portland OR 97702 |
| Mailing Address |
334 Ne Irving Ave. 102 Bend OR 97702 UM |
| Practice Telephone | 5414194019 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | 18101 | OR | Other Service Providers |
| Y | 172V00000X | Community Health Worker | 18101 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1003985524 | Frederick Stephen Johnson | Dentist | 221 W Penn Ave, Ste 213, Cleona, PA 17042 | 2006-11-07 |
| 1982182960 | Frederick Johnson Iv | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-08-01 |
| 1295234318 | Frederick Leon Johnson Jr. | Counselor | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2018-02-04 |
| 1760723159 | Frederick L Johnson | Physical Therapy Assistant | 1205 Sw 29th St, Topeka, KS 66611-1203 | 2013-03-08 |
| 1619174406 | Frederick O Johnson | Dentist | 225 Front St, Binghamton, NY 13905-2424 | 2007-06-27 |
| 1104983360 | Frederick L Johnson | Anesthesiology | 987 Parallel Dr, Lakeport, CA 95453-5702 | 2007-01-03 |
| 1740375971 | Frederick W Johnson | Surgery | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-10-04 |
| 1376555268 | Frederick G. Johnson | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2006-08-12 |
| 1205851672 | Frederick C Johnson | Pediatrics | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2006-07-13 |
| Street Address |
334 NE IRVING AVENUE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118149 | Aurora Ayon Mendoza | Community Health Worker | 9225 Se Division St Unit C, Portland, OR 97266-1490 | 2020-09-14 |
| 1366066862 | Rhea Wolf | Community Health Worker | 18766 Se Stark St, Portland, OR 97233-5330 | 2020-06-01 |
| 1215413570 | Amy Beth Anderson | Community Health Worker | 3735 Se Sherman St, Portland, OR 97214-5855 | 2018-07-18 |
| 1740795111 | Paige Snow | Community Health Worker | 3846 Se 16th Ave, Portland, OR 97202-3829 | 2017-12-07 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1164969150 | Patricia Suzanne Magid-volk | Community Health Worker | 3842 Sw Nevada Ct, Portland, OR 97219-1513 | 2017-01-27 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1033565700 | Jean Rathfelder | Community Health Worker | 3802 Sw Caldew St, Portland, OR 97219-1527 | 2016-05-11 |
| 1366898074 | Marie Ann Coulson | Community Health Worker | 14988 Se Division St, Portland, OR 97236-2337 | 2016-05-11 |
| 1427449396 | James Jennings | Community Health Worker | 3705 Se Market St Apt 4, Portland, OR 97214-5156 | 2015-02-12 |
| Find all providers in PORTLAND | ||||
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| 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.