Individual
ANDREW MARC FRIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
111 SW 5TH AVE, PORTLAND, OR 97204-3604
(260) 577-2266
Mailing address
800 NW POWHATAN TER, PORTLAND, OR 97210-2733
(260) 577-2266
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
35882
AL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
35882
AL
2083P0901X
Public Health & General Preventive Medicine Physician
35882
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
PLACEHOLDER
—
Enumeration date
02/26/2019
Last updated
05/11/2023
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