MR. GRANT V FREY JR. (NPI# 1114201563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114201563 |
Entity Type | Individual |
Full Name | MR. GRANT V FREY JR. |
Practice Address |
11895 Sw Greenburg Rd Tigard OR 97223-6450 |
Mailing Address |
6111 Sw Beaverton Hillsdale Hwy Apt 30 Portland OR 97221-1114 |
Practice Telephone | 5037263696 |
Mailing Telephone | 8083915066 |
Enumeration Date | 2011-10-04 |
Last Update Date | 2011-10-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
11895 SW GREENBURG RD |
City | TIGARD |
State | OR |
Zip Code | 97223-6450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942366976 | Mona Knapp | Social Worker | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2006-12-27 |
1932554508 | Hao Pham | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223 | 2016-05-02 |
1194001776 | Stella Nthenya Mutuku | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-10-27 |
1376827790 | Kimberly Mendiola | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-10-04 |
1679856223 | Ayaka Osakabe | Social Worker | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-09-20 |
1407140668 | Nora Brackenbury Candey | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-06-06 |
1366735359 | Katherin Marie Hudon | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-05-24 |
1811280860 | Catherine Patricia Quinn | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-05-24 |
1134412166 | Jeremy Saba Adversalo | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-05-24 |
1326331547 | Heather Moore | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223-6450 | 2011-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
Find all providers in zip 97223 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336799329 | New Springs Counseling Service | Counselor | 6975 Sw Sandburg St Ste 155, Tigard, OR 97223-8078 | 2019-09-12 |
1700363967 | Robin L. Fleming | Counselor | 7320 Sw Hunziker St Ste 204, Tigard, OR 97223-2301 | 2018-07-20 |
1083153522 | Jesse Lewis Robinson I | Counselor | 12370 Sw 121st Ave, Tigard, OR 97223-3127 | 2017-02-16 |
1588079826 | Paul Mclaughlin | Counselor | 14485 Sw Beef Bend Rd, Apt. J1, Tigard, OR 97224-1950 | 2014-06-25 |
1578994661 | Michelle Knowles | Counselor | 8212 Sw Locust St, Tigard, OR 97223-5822 | 2013-11-27 |
1609213818 | Amanda Nirah Bradley | Counselor | 8915 Sw Center St Tigard, Tigard, OR 97223 | 2013-05-29 |
1538505714 | Kari Daniel Francis | Counselor | 8915 South West Center St., Tigard, OR 97223-6307 | 2013-05-15 |
1598000283 | Jennifer Oneil | Counselor | 8915 Southwest Center Street, Tigard, OR 97223 | 2012-12-06 |
1073862496 | Erika Wright | Counselor | 8770 Sw Scoffins Street, Tigard, OR 97223 | 2012-08-30 |
1144597121 | Frank E Flaton | Counselor | 11985 Sw Greenburg, Tigard, OR 97223 | 2011-11-19 |
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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.