Individual provider · Type 1 NPI

Eric James Fredericks, CNA

Nurse's Aide · Newport, OR

NPI number 1659233419 Active

Practice location

835 SW 11th St
Newport, OR 97365-4802

Call (541) 265-5356 Map

Mailing address

4330 SE Fleming St
Newport, OR 97366-9692

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X10046143 (OR)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1659233419

Eric James Fredericks, CNA's National Provider Identifier is 1659233419, issued on Dec 1, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Newport, OR. The record was last updated on Dec 1, 2025.