Individual
JONATHAN FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 956-1287
Mailing address
12878 SIERRA VISTA DR, LAKE OSWEGO, OR 97035-5777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
09/24/2020
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