Individual provider Active NPI

Susan E Froehlich, L.AC.

  • Acupuncturist
  • Hood River, OR
National Provider Identifier
1225177306
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00478 Issued in OR
Practice address
700 E Port Marina Dr Ste 100
Hood River, OR 97031-2380
Phone
(541) 386-8767
NPI assigned
Feb 6, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00478 OR Primary

Addresses

Primary practice location

700 E Port Marina Dr Ste 100
Hood River, OR 97031-2380

Mailing address

302 E. 2ND
PO Box 312
Mosier, OR 97040
Phone (541) 806-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00478ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Acupuncture LLC PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1225177306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E. 2ND",
            "address_2": "PO BOX 312",
            "city": "MOSIER",
            "state": "OR",
            "postal_code": "97040",
            "telephone_number": "541-806-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PORT MARINA DR STE 100",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312380",
            "telephone_number": "541-386-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.