Individual
JEFFREY A FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(877) 213-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(503) 813-4756
(877) 821-5101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3445
WA
152W00000X
Optometrist
Primary
OD00003445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021814
—
WA
Enumeration date
02/22/2006
Last updated
02/04/2022
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