Friedman, Larry Stephen

Friedman, Larry Stephen is an individual health care provider with primary practice located at 921 Sw Washington Ste 814, Portland OR 97205-2826. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Friedman, Larry Stephen can be contacted via phone (503) 223-5441.

Contact Information

Primary practice address
921 Sw Washington Ste 814 Portland OR 97205-2826
Phone: (503) 223-5441
Fax: (503) 221-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 675 Oregon

Profile Details

NPI number 1417923285
LBN Legal business name Friedman, Larry Stephen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417923285 NPPES
Oregon MEDICAID 152975

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