DR. KATHARINE MARY ELENA FRISSORA


Address: 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873
Phone: 5032536754

DR. KATHARINE MARY ELENA FRISSORA (NPI# 1669814711) 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) 1669814711
Entity Type Individual
Full Name DR. KATHARINE MARY ELENA FRISSORA
Credential DNP, PMHNP-BC, RN
Practice Address 10373 Ne Hancock St Ste 200
Portland
OR 97220-3873
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5032536754
Practice Fax Number 5032538020
Mailing Telephone 5032380769
Enumeration Date 2013-07-17
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
202003093NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F401821 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
15002NP OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500711757 05
NY 00695941 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
94-98 Manhattan Avenue, Brooklyn, NY 112062505 7183880390

Office Location

Street Address 10373 NE HANCOCK ST STE 200
City PORTLAND
State OR
Zip Code 97220-3873

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457366957 Ellen Gale Madnick Internal Medicine 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2006-07-31
1538780523 Neyma E Oditt Registered Nurse 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2020-04-30
1619501988 Jennifer L Montpetit Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2020-02-26
1023655545 Cynthia Rosaura Vides-guerra Case Manager/Care Coordinator 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2019-12-03
1831732015 Aaron James Kinyon Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2019-10-21
1316465438 Candyce Monteleone Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2017-09-08
1306205729 Tamika Tyrell Motton Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2016-02-12
1447644349 Michelle Simmons Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2015-03-27
1720481633 Valerie Garst Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220 2014-10-06
1003175332 Evelyn Reese Acopan Counselor 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 2012-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97220

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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