Individual
EVANGELINE FRIEDBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 97116-2894
(503) 359-4773
(503) 359-3809
Mailing address
1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 97116-2894
(503) 359-4773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500831809
—
OR
Enumeration date
12/19/2022
Last updated
05/23/2025
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