Active NPI
Eastern Oregon Health & Wellness
- Voluntary or Charitable Agency
- La Grande, OR
National Provider Identifier
1104542844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 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 Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- La Grande, OR
- NPI 1922856574
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.