Individual
TOMMYE REBECCA FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 MIDWAY, BAKER CITY, OR 97814-1466
(541) 523-6581
(541) 523-9237
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20-09-01
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4803844
DRIVER'S LICENSE
OR
Enumeration date
01/10/2017
Last updated
11/23/2022
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