Active NPI
Castine Marina Friberg, PCA
- Professional Counselor
- Portland, OR
National Provider Identifier
1730821265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R6361
- Practice address
- 2440 NE 122ND Ave
Portland, OR 97230-1835 - Phone
- (949) 751-7899
- NPI assigned
- Apr 13, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R6361 | OR | Primary |
Addresses
Primary practice location
2440 NE 122ND Ave
Portland, OR 97230-1835
Mailing address
2440 NE 122ND Ave
Portland, OR 97230-1835
Phone (949) 751-7899
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 |
|---|---|---|---|
| R6361 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1730821265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301835",
"telephone_number": "949-751-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301835",
"telephone_number": "949-751-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIBERG",
"first_name": "CASTINE",
"middle_name": "MARINA",
"credential": "PCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R6361",
"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 13, 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.