Provider Demographics
NPI:1285962266
Name:FRICKE, KATE ALLISON (CD(DONA))
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ALLISON
Last Name:FRICKE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14045 SE ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-4020
Mailing Address - Country:US
Mailing Address - Phone:541-337-2567
Mailing Address - Fax:
Practice Address - Street 1:14045 SE ELLIS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-4020
Practice Address - Country:US
Practice Address - Phone:541-337-2567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula