IndividualActive
Eric Fredericks, CNA
NPI 1659233419 · Nurse's Aide · Newport, OR
Provider details
- NPI number
- 1659233419
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10046143 (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
835 Sw 11th St
Newport, OR 97365-4802
Phone: (541) 265-5356
Approximate (ZIP-level) locationGet directions
Mailing address
4330 Se Fleming St
Newport, OR 97366-9692
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.