MR. JOSEPH JOHN FRICKE (NPI# 1851350870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851350870 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH JOHN FRICKE |
| Credential | PT |
| Practice Address |
11300 Ne Halsey St Suite 102 Portland OR 97220-2096 |
| Practice Telephone | 5032579881 |
| Practice Fax Number | 5032578964 |
| Mailing Telephone | 5032579881 |
| Mailing Fax Number | 5032578964 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1660 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11300 NE HALSEY ST SUITE 102 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072945 | Kristin Devoto | Physical Therapist | 11300 Ne Halsey St, Ste 102, Portland, OR 97220-2096 | 2006-10-26 |
| 1013939511 | Jana Lynn Port | Physical Therapy Assistant | 11300 Ne Halsey St, Suite 102, Portland, OR 97220-2096 | 2006-07-24 |
| 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 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| 1437516515 | Caleb Joseph Wright | Physical Therapist | 8628 Se 17th Ave, Portland, OR 97202-0000 | 2016-01-20 |
| 1881840692 | Jennifer Lynne Davis | Physical Therapist | 7718 Se 13th Ave, Portland, OR 97202-6348 | 2008-08-12 |
| 1093977316 | Julie A Jacobson | Physical Therapist | 10428 Ne Pacific St, Portland, OR 97220-4028 | 2008-06-27 |
| 1427225606 | Kofoed Enteprises PC | Physical Therapist | 1020 Sw Taylor Street Suite 665, Portland, OR 97205-2529 | 2008-05-15 |
| 1770619595 | Shawn Patrick Cooney | Physical Therapist | 3108 Ne 181st Ave, Portland, OR 97230-6926 | 2007-02-26 |
| 1811039035 | Kevin A Schmidt | Physical Therapist | 2622 Se 25th Ave, Suite B, Portland, OR 97202-1217 | 2007-02-13 |
| 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.