The Wellness Cooperative

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE WELLNESS COOPERATIVE

Practice address

714 Harrison Ave
Astoria, OR 97103-4738

Phone

(503) 791-2816

Fax

(866) 638-1928

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Tonya Lee Frederick, APRN

Title

Founding Member, FNP-C

Phone

(503) 791-2816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1184340291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 HARRISON AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034738",
            "telephone_number": "503-791-2816",
            "fax_number": "866-638-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HARRISON AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034738",
            "telephone_number": "503-791-2816",
            "fax_number": "866-638-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FOUNDING MEMBER, FNP-C",
        "authorized_official_telephone_number": "503-791-2816",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Astoria, OR
• Providers in Astoria, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.