Active NPI
Matthew Frey, L.AC.
- Acupuncturist
- Newberg, OR
National Provider Identifier
1609051614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01155
- Practice address
- 108 S College St
Suite B
Newberg, OR 97132-3110 - Phone
- (503) 313-6642
- Fax
- (503) 419-9873
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01155 | OR | Primary |
Addresses
Primary practice location
108 S College St
Suite B
Newberg, OR 97132-3110
Mailing address
108 S College St
Suite B
Newberg, OR 97132-3110
Phone (503) 313-6642
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01155 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Minifie, LMT, LLC | Past | 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 and National Provider Directory roles.
-
dba Body Wisdom Massage Therapy
- Massage Therapist
- Newberg, OR
- NPI 1285107292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1609051614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S COLLEGE ST",
"address_2": "SUITE B",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323110",
"telephone_number": "503-313-6642",
"fax_number": "503-419-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S COLLEGE ST",
"address_2": "SUITE B",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323110",
"telephone_number": "503-313-6642",
"fax_number": "503-419-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "MATTHEW",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
- Emily Lynn Hodgin Forbes, RDN
- Geneva Foster-Ward, LMT
- Luann Kristine Foster, PSYD
- Theodore Allen Foster III, D.O., M.P.H
- Fred Meyer Stores Inc (Fred Meyer Pharmacy)
- Douglas Alan Fry, D.M.D.
- Haley Sachiko Fujimori
- Jonah Daniel Fuls, PHARMD
- Kelly Gallagher, MS, CCC-SLP
- Joseph Edward Galligan, MA, CADC II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.