Shari S Freshman House, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

079043989N1 Issued in OR

Practice address

721 NW 9TH Ave
Suite 100a
Portland, OR 97209-3444

Phone

(503) 525-0090

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Pearl Health Center,PC

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1104918275
  NPD (past) Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1417992579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE STE 100A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093477",
            "telephone_number": "503-525-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE",
            "address_2": "SUITE 100A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093444",
            "telephone_number": "503-525-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHMAN HOUSE",
        "first_name": "SHARI",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "079043989N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL ASSISTANCE",
            "identifier": "027744",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Zeferjahn Frenzel, B.A
• Fresenius Medical Care Northeast Portland, LLC
• Fresh Start Recovery
• Debra Fresh
• Sandra Louise Fresh, PMHNP
• Cara Michelle Freudenberg, PSY.D.
• Robert Freund
• Bryan Frey
• Emily K Frey
• Julia Alice Frey

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.