Healthcare Provider Details

I. General information

NPI: 1538073747
Provider Name (Legal Business Name): AURORA FRISBY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 S CORBETT AVE
PORTLAND OR
97201-4858
US

IV. Provider business mailing address

5022 SE HOLGATE BLVD
PORTLAND OR
97206-4931
US

V. Phone/Fax

Practice location:
  • Phone: 503-552-1551
  • Fax:
Mailing address:
  • Phone: 405-584-3309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number5147
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: