Provider Demographics
NPI:1023053154
Name:FRINK, CHRISTOPHER SCOT (MS F-AAA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:SCOT
Last Name:FRINK
Suffix:
Gender:M
Credentials:MS F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WELCOME WAY SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-3983
Mailing Address - Country:US
Mailing Address - Phone:503-304-3720
Mailing Address - Fax:
Practice Address - Street 1:3857 WOLVERINE STREET NE #16C
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305
Practice Address - Country:US
Practice Address - Phone:503-588-1039
Practice Address - Fax:503-588-1468
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22612231H00000X
ORHAS-P-003469237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR027738Medicaid
OR134257Medicare ID - Type Unspecified