| Mary E Frisvold, CNM | |
|
4400 Ne Halsey St Ste 285, Portland, OR 97213-1545 | |
| (503) 215-6262 | |
| Not Available |
| Full Name | Mary E Frisvold |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4400 Ne Halsey St Ste 285, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639730666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 201803506NP-PP (Oregon) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Frisvold, CNM 4400 Ne Halsey St Ste 285, Portland, OR 97213-1545 Ph: (503) 215-6262 | Mary E Frisvold, CNM 4400 Ne Halsey St Ste 285, Portland, OR 97213-1545 Ph: (503) 215-6262 |
Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859 | |
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500 | |
Elise N Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225 Phone: 503-216-2602 | |
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591 | |
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534 | |
Mary Lucarelli Gallagher, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 9701 Sw Barnes Rd Ste 200, Portland, OR 97225 Phone: 503-734-3700 Fax: 503-473-8462 | |
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725 |