DR. BRETON CHARLES FREITAG (NPI# 1073611687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073611687 |
| Entity Type | Individual |
| Full Name | DR. BRETON CHARLES FREITAG |
| Credential | MD |
| Practice Address |
501 N Graham Street Suite 265 Portland OR 97227 |
| Practice Telephone | 5032827002 |
| Practice Fax Number | 5032801294 |
| Mailing Telephone | 5032827002 |
| Mailing Fax Number | 5032801294 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD21583 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286457 | 05 |
| Street Address |
501 N GRAHAM STREET SUITE 265 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871975086 | Jessica Lori Lowery | Registered Nurse | 501 N Graham Street, Suite 375, Portland, OR 97227 | 2015-06-24 |
| 1982702593 | Nicole M Schmidt | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
| 1053419663 | John V Mcdonald | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
| 1962500579 | Rebecca Eve Mischel | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232974 | Paul Stobie | Pediatrics | 109 Lost Creek Dr, Portland, TX 78374-1449 | 2006-05-16 |
| 1457319295 | Sean L Sweeney | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2006-05-02 |
| 1932641180 | Holly Kay Hunt | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2016-11-04 |
| 1164765590 | Casey Sterling Ward | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2013-04-04 |
| 1003159757 | Megan Furnari | Pediatrics | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-01 |
| 1811254188 | Leah Yieh | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-04-11 |
| 1831482694 | Angela Douglas | Pediatrics | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2011-05-25 |
| 1205129699 | Adrienne Rachael Bingham | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225 | 2011-05-18 |
| 1093004541 | Ladawna Gievers | Pediatrics | 707 Sw Gaines St, Mail Cdrc-p, Portland, OR 97239-2901 | 2011-04-05 |
| 1700192523 | Ryan Lam | Pediatrics | 707 Sw Gaines St, Oregon Health & Science University, Portland, OR 97239-2901 | 2010-08-31 |
| 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.