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Individual

LARRY STEPHEN FRIEDMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
921 SW WASHINGTON, STE 814, PORTLAND, OR 97205-2826
(503) 223-5441
(503) 221-4277
Mailing address
921 SW WASHINGTON, STE 814, PORTLAND, OR 97205-2826
(503) 223-5441
(503) 221-4277

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
675
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152975
OR
Enumeration date
02/23/2006
Last updated
07/08/2007
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