NPI 1649555145

Frida Center LLC

Organisation Pain Medicine Physician Portland, OR

Practice location

Address: 6400 SW Canyon CT STE 100, Portland, OR 97221-1461
Phone: (503) 477-9616
Fax: (503) 477-9808
Mailing address: 6400 SW Canyon CT STE 100, Portland, OR 97221-1459

Authorised official

Name: Ginevra Lois Liptan
Title: Medical Director
Phone: (503) 477-9616

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 28421 (OR)

Other Pain Medicine providers in Oregon →

Registry record

NPI: 1649555145
Entity type: Organization
NPI issued: 15 Oct 2011
Record last updated: 15 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.