NPIMap

Organization Active NPI

Frida Center LLC

  • Pain Medicine Physician
  • Portland, OR
National Provider Identifier
1649555145
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
28421 Issued in OR
Legal business name
FRIDA CENTER LLC
Practice address
6400 SW Canyon CT
Ste 100
Portland, OR 97221-1461
Phone
(503) 477-9616
Fax
(503) 477-9808
NPI assigned
Oct 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Ginevra Lois Liptan, M.D.
Title
Medical Director
Phone
(503) 477-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 28421 OR Primary

Addresses

Primary practice location

6400 SW Canyon CT
Ste 100
Portland, OR 97221-1461

Mailing address

6400 SW Canyon CT
Ste 100
Portland, OR 97221-1459
Phone (503) 477-9616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1649555145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SW CANYON CT",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211459",
            "telephone_number": "503-477-9616",
            "fax_number": "503-477-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SW CANYON CT",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211461",
            "telephone_number": "503-477-9616",
            "fax_number": "503-477-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "LIPTAN",
        "authorized_official_first_name": "GINEVRA",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-477-9616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "28421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 15, 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.