Individual
MS. SHARI S FRESHMAN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
721 NW 9TH AVE, SUITE 100A, PORTLAND, OR 97209-3444
(503) 525-0090
Mailing address
721 NW 9TH AVE STE 100A, PORTLAND, OR 97209-3477
(503) 525-0090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079043989N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027744
OREGON MEDICAL ASSISTANCE
OR
Enumeration date
06/20/2006
Last updated
10/31/2011
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