Individual provider Active NPI

Mary Bernadette Frazel, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1649301672
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1473 Issued in OR
Practice address
3007 SE Belmont St
Portland, OR 97214-4026
Phone
(503) 445-7115
Fax
(503) 445-7116
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1473 OR Primary

Addresses

Primary practice location

3007 SE Belmont St
Portland, OR 97214-4026

Mailing address

4206 SE Ramona St
Portland, OR 97206-6248
Phone (503) 788-4488

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drmaryfrazel@msn.com

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
1473ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1649301672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 SE RAMONA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066248",
            "telephone_number": "503-788-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144026",
            "telephone_number": "503-445-7115",
            "fax_number": "503-445-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEL",
        "first_name": "MARY",
        "middle_name": "BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drmaryfrazel@msn.com",
            "affiliation": "N",
            "address_1": "3007 SE Belmont St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972144026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.