Eric J Frederick is a Audiologist in Portland, Oregon. Eric J Frederick practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Eric J Frederick is 1336177138. The last update date is 2011-09-16.
Eric J Frederick's current location address is 10350 N Vancouver Way, Portland, Oregon. You can contact this provider via phone number 5039284327 and fax number 5037198209. The mailing address for Eric J Frederick is 10350 N Vancouver Way, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric J Frederick |
|---|---|
| Address | 10350 N Vancouver Way, Portland, Oregon |
| Phone Number | 5039284327 |
| Fax Number | 5037198209 |
| Sole Proprietor | Y |
| Credentials | AU.D |
NPI Number Detail
| NPI Number | 1336177138 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | 10350 N Vancouver Way |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972177530 |
| Phone Number | 5039284327 |
| Fax Number | 5037198209 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 21685 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336177138 | NPI | ||
| 84413 | OR | -- |
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What is the unique 10-digit identification code issued to Eric J Frederick by the Centers for Medicare & Medicaid Services?
The Eric J Frederick has been assigned the NPI (National Provider Identifier) 1336177138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Eric J Frederick located?
The Eric J Frederick is located at 10350 N Vancouver Way, Portland, OR 972177530.
What is Eric J Frederick's area of expertise and its corresponding taxonomy classification?
The Eric J Frederick's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1336177138 assigned to Eric J Frederick?
The Eric J Frederick was issued its 1336177138 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Eric J Frederick most recently updated or revised?
The details related to Eric J Frederick, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-16.