DAVID JAMES FRY CADC I NPI 1982043642

NPI Information

NPI: 1982043642
Provider Name: DAVID JAMES FRY, CADC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3425 13TH ST
BAKER CITY, OR
ZIP 97814
Phone: (541) 523-7400
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David James Fry, CADC I is an addiction (substance use disorder) counselor in Baker City, OR. David James Fry, CADC I NPI is 1982043642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3425 13TH ST
BAKER CITY, OR
ZIP 97814-340
Phone: (541) 523-7400
Fax: (541) 523-4927

The enumeration date for this NPI number is 6/17/2013 and was last updated on 1/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		24-QMHA-R-4832	OREGON	No
2	175T00000X	Peer Specialist		23-CRM-2394	OREGON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15-04-21	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CGAC-RTG-22-097	MEDICAID	OREGON
2	500699844	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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