Healthcare Provider Details

I. General information

NPI: 1952289381
Provider Name (Legal Business Name): FRIEND INDEED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89093 MARCOLA RD
SPRINGFIELD OR
97478-8780
US

IV. Provider business mailing address

89093 MARCOLA RD
SPRINGFIELD OR
97478-8780
US

V. Phone/Fax

Practice location:
  • Phone: 602-697-3463
  • Fax:
Mailing address:
  • Phone: 602-697-3463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NATALIE YOUNGERS
Title or Position: CEO, OWNER, EXECUTIVE DIRECTOR
Credential:
Phone: 602-697-3463