Frederick, Eric J

Frederick, Eric J is an sole proprietor health care provider with primary practice located at 825 Ne 20Th Ave Suite 230, Portland OR 97232-2275. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Frederick, Eric J can be contacted via phone (503) 928-4327.

Contact Information

Primary practice address
825 Ne 20Th Ave Suite 230 Portland OR 97232-2275
Phone: (503) 928-4327
Fax: (503) 719-8209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 21685 Oregon

Profile Details

NPI number 1336177138
LBN Legal business name Frederick, Eric J
Credentials AU.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Sep 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336177138 NPPES
Other 1336177138 NPI
MEDICAID 084413 NPI

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