Active NPI
Jennifer Frank
- Specialist
- Portland, OR
National Provider Identifier
1730626805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R3397
- Practice address
- 1008 SE 112TH Ave
Portland, OR 97216-3516 - Phone
- (971) 266-0036
- NPI assigned
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | R3397 | OR | Primary |
Addresses
Primary practice location
1008 SE 112TH Ave
Portland, OR 97216-3516
Mailing address
4531 SE Belmont St Ste 300
Portland, OR 97215-1675
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 |
|---|---|---|---|
| R3397 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1730626805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 SE 112TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163516",
"telephone_number": "971-266-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "R3397",
"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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.