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Individual

DR. ANDREA TIFFANY FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4315
(253) 564-8100
(253) 564-8387
Mailing address
4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4315
(253) 564-4157
(253) 220-2491

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043696
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8400574
WA
Enumeration date
08/13/2006
Last updated
01/10/2024
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