DR. MEREDITH CLAIRE FREDERICK (NPI# 1215228671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215228671 |
| Entity Type | Individual |
| Full Name | DR. MEREDITH CLAIRE FREDERICK |
| Other Name | MEREDITH CLAIRE KENFIELD |
| Credential | M.D. |
| Practice Address |
3181 Sw Sam Jackson Park Road Ohsu Portland OR 97239 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 5034948211 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2015-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD171898 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3181 SW SAM JACKSON PARK ROAD OHSU |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653796 | Susan I Vangorder | Anesthesiology | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239-3098 | 2005-07-19 |
| 1447888193 | Jared Schaefer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-30 |
| 1831726603 | Charles Norval De Leeuw | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-23 |
| 1740742055 | Taesoo Kim | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1518429836 | Ellen Walford Green | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1760944169 | Joanna Jacobs | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-03 |
| 1225597388 | Nattapron Tun | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-03-18 |
| 1235625435 | Arisa Takeuchi | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2018-07-11 |
| 1235634619 | Patrick Anthony Hogan | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, 3181 Sw Sam Jackson Park Rd., L-579, Portland, OR 97239 | 2018-03-27 |
| 1356870190 | Colleen Osak Cooper | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1184883381 | Michelle Hannah Cameron | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 | 2008-06-03 |
| 1043484801 | Aimee Lucinda Pierce | Psychiatry & Neurology | 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 | 2008-04-14 |
| 1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
| 1164647061 | Matthew Michael Evans | Psychiatry & Neurology | 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 | 2007-04-16 |
| 1477670255 | Vivek Unni | Psychiatry & Neurology | Chh, 3303 S.w. Bond Ave., Portland, OR 97239 | 2007-03-25 |
| 1780711135 | Holly Elaine Hinson | Psychiatry & Neurology | 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 | 2007-02-27 |
| 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.