Individual
HARRISON M FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504
(541) 732-5000
Mailing address
1125 NE ORENCO STATION PKWY APT F107, HILLSBORO, OR 97124-4443
(541) 941-0800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA190211
OREGON MEDICAL BOARD PHYSICIAN ASSISTANT LICENSE
OR
Enumeration date
05/09/2018
Last updated
10/08/2021
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