Sydney Fredrickson
Individual provider Active NPI Professional Counselor · Estacada, OR
NPI 1417547142 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1417547142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 112 NE Oak View LN
Estacada, OR 97023-9357 - Phone
- (520) 490-4647
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
112 NE Oak View LN
Estacada, OR 97023-9357
Mailing address
112 NE Oak View LN
Estacada, OR 97023-9357
Phone (520) 490-4647
Other providers in Estacada, OR
- Estacada Direct Primary Care, LLC
- Estacada Eyecare PC
- Estacada Family Dental, LLC
- Estacada Rural Fire District #69
- Estacada School District 108
- GHC Inc
- Brian C Gilchrist
- Paul Aj Govert
- Henry Martin Grasmeder III
- Gratitude Nursing Care LLC
All providers in Estacada, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. 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.