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FREDERICK BERRY
NPI 1194147223
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 08, 2014
3034 NE MLK BLVD, PORTLAND, OR 97212(503) 238-3763 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Berry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK BERRY (NPI 1194147223) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1194147223
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameFREDERICK BERRY
Location Address3034 NE MLK BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-3763
Sole ProprietorNo
Enumeration DateJanuary 8, 2014
✔ NPI 1194147223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3034 NE MLK BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNA VALERIO
Counselor (Addiction (Substance Use Disorder))
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
MRS. LATASHA LAYLA WHEATT-DELANCY QMHP, MSW
Social Worker
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2522
JOSHUA ANDREW LATHAN
Case Manager/Care Coordinator
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
THANISSARA POOMLAOCHAENG
Case Manager/Care Coordinator
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
CYNTHIA ROSS CONNAIS
Counselor (Mental Health)
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
CHERYL A JOHNSON
Counselor (Addiction (Substance Use Disorder))
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2515
ERIC LERMONT ISLAND
Case Manager/Care Coordinator
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
TINA HAMMICK
Adult Companion
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 238-0769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Berry's NPI number?

The NPI number for Frederick Berry is 1194147223. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Frederick Berry located?

Frederick Berry practices at 3034 NE Mlk Blvd, Portland, OR 97212. The listed phone number is (503) 238-3763.

What is Frederick Berry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Frederick Berry was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.