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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417923285 | NPPES |
| Oregon | MEDICAID | 152975 |
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