OrganizationActive
First Avenue Clinic
NPI 1710173190 · Medical Specialty Clinic/Center · Canby, OR
Provider details
- NPI number
- 1710173190
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diann Frease, Naturopathic Physician(503) 266-2000
- License
- 1420 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
322 Nw 1st Ave
Canby, OR 97013-3533
Phone: (503) 266-2000
Fax: (503) 266-2015
Approximate (ZIP-level) locationGet directions
Mailing address
322 Nw 1st Ave
Canby, OR 97013-3533
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2007-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.