Dena Freed, CHW
Individual provider Active NPI Community Health Worker · Bandon, OR
NPI 1184456469 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1184456469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 111886 (OR)
- Practice address
- 1010 1St St SE
Bandon, OR 97411-9301 - Phone
- (541) 347-2529
- Fax
- (541) 347-9196
- NPI assigned
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111886 | OR | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 111886 | OR | Yes |
Addresses
Primary practice location
1010 1St St SE
Bandon, OR 97411-9301
Mailing address
1115 2ND St SE Apt 7
Bandon, OR 97411-9417
Phone (541) 290-7287
Other practice location 1
1312 Tichenor St
Port Orford, OR 97465-8776
Phone (541) 347-2529 ext. 335
Other providers in Bandon, OR
- Rachel Lee Dugan
- Stephanie Ann Empson
- Evertide Counseling LLC
- Brandie Feger
- Nicolette Fonseca
- Frontier Foot and Ankle Specialists LLC
- Gail K McClave MD LLC
- James Giambrone Jr.
- Great Bear Acupuncture, LLC
- Gregory a Aitchison MD PC
All providers in Bandon, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.