Organization Active NPI

Eastern Oregon Health & Wellness

  • Voluntary or Charitable Agency
  • La Grande, OR
National Provider Identifier
1104542844
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
EASTERN OREGON HEALTH & WELLNESS
Practice address
1101 I Ave
La Grande, OR 97850-2043
Phone
(541) 805-2626
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Michelle Yvonne Frizzell, CADCII, CRM
Title
Director
Phone
(541) 910-5577

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1101 I Ave
La Grande, OR 97850-2043

Mailing address

PO Box 975
La Grande, OR 97850-0975
Phone (541) 805-2626

Other practice location 1

1514 N Portland St
LA Grande, OR 97850-3912
Phone (541) 910-5577

Other practice location 2

1706 4th St
LA Grande, OR 97850-2508
Phone (541) 805-2626

National Provider Directory

National Provider Directory
Tax ID family
Eastern Oregon Health Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 3rd St
La Grande, OR 97850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1104542844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978500975",
            "telephone_number": "541-805-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 I AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502043",
            "telephone_number": "541-805-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 N Portland St",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978503912",
            "country_code": "US",
            "telephone_number": "541-910-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 4th St",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978502508",
            "country_code": "US",
            "telephone_number": "541-805-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTERN OREGON HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "FRIZZELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-910-5577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADCII, CRM"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.