Individual
JAKOB FORREST FREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6177
Mailing address
3830 BEVERLY DR, KLAMATH FALLS, OR 97603-3714
(503) 523-7708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD28480
OR
Other
Enumeration date
07/02/2007
Last updated
08/30/2012
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