Active NPI
Emily Fried, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1700527975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6209
- Practice address
- 9455 SW 80TH Ave
Portland, OR 97223-8966 - Phone
- (503) 662-7474
- NPI assigned
- Apr 4, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6209 | OR | Primary |
Addresses
Primary practice location
9455 SW 80TH Ave
Portland, OR 97223-8966
Mailing address
13702 SW Hall Blvd Apt 1
Tigard, OR 97223-8155
Phone (203) 417-1613
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 |
|---|---|---|---|
| 6209 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1700527975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13702 SW HALL BLVD APT 1",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238155",
"telephone_number": "203-417-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 SW 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238966",
"telephone_number": "503-662-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "EMILY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-04",
"last_updated": "2022-04-04",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6209",
"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 Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.