Kelsey Susan Fried (NPI# 1598137424, PAC ID# 5991083693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598137424 |
| PAC ID by PECOS | 5991083693 |
| Professional Enrollment ID | I20161101001052 |
| Full Name | Kelsey Susan Fried |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
1905 Se 164th Ave Express Care At Walgreens Fisher's Landing Vancouver WA 98683-8937 |
| Phone Number | 3608363396 |
| Gender | F |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4285 W Powell Blvd, Gresham, OR 97030-5050 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 11995 Se Sunnyside Rd, Happy Valley, OR 97015-9312 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267-1416 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 1025 Nw 14th Ave, Portland, OR 97209-2705 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439 | 5032154250 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 4340 N Interstate Ave, Providence Express Care Interstate, Portland, OR 97217-3211 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 4816 Nw Bethany Blvd, Portland, OR 97229-9254 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984 | 5032156405 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt St, Portland, OR 97213-2984 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 5308 N Lombard St, Portland, OR 97203-4218 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 | 3608363396 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
1905 SE 164TH AVE EXPRESS CARE AT WALGREENS FISHER'S LANDING |
| City | VANCOUVER |
| State | WA |
| Zip | 98683-8937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saubia Saeed | Physician Assistant | Providence Health and Services Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Cara D Ellis | Family Medicine | Providence Health and Services Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Carrie Lynne Myers-cleary | Nurse Practitioner | Providence Health and Services Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Katharine T Mitchell | Nurse Practitioner | Providence Health and Services Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Suzi J Yee | Nurse Practitioner | Providence Health and Services Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Tracey D Amlin | Nurse Practitioner | Providence Health and Services - Oregon | 1905 Se 164th Ave, Vancouver, WA 98683-8937 |
| Kristen A Harris | Nurse Practitioner | Providence Health and Services - Oregon | 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry M Dickie | Audiologist | Vancouver Ent and Ent of The Northwest Pllc | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-0000 |
| Reginald G Buesa | Internal Medicine | Crm Physicians LLC | 801 Se Park Crest Ave, Vancouver, WA 98683-1300 |
| Cynthia A Chan | Internal Medicine | Crm Physicians LLC | 801 Se Park Crest Ave, Vancouver, WA 98683-1300 |
| David P Larson | Internal Medicine | Crm Physicians LLC | 801 Se Park Crest Ave, Vancouver, WA 98683-1300 |
| Alan G Pasternak | Clinical Psychologist | Senior Psychology LLC | 801 Se Park Crest Ave, Vancouver, WA 98683-1300 |
| Eric Austin Jordan Nash | Nurse Practitioner | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Brandon Jeffrey Parsons | Physician Assistant | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Bridget J Marick | Physician Assistant | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Robin Kenning | Nurse Practitioner | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Edgar K Ragsdale | Orthopedic Surgery | Northwest Surgical Specialists PC | 3101 Se 192nd Ave, Vancouver, WA 98683-1442 |
| Find all physicians in zip 98683 | |||
| City | VANCOUVER |
| Zip Code | 98683 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VANCOUVER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelsey Susan Fried.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.