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LARRY STEPHEN FRIEDMAN PHD

Clinical Neuropsychologist

Portland, Oregon

Provider NPI: 1417923285

Provider Information:
 LARRY STEPHEN FRIEDMAN PHD
Gender: M


Practice Location:
921 SW WASHINGTON STE 814 PORTLAND, OR 97205 US
Tel: 503-223-5441  Fax: 503-221-4277

Business Mailing Address:
921 SW WASHINGTON STE 814 PORTLAND, OR 97205 US
Tel: 503-223-5441  Fax: 503-221-4277

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OR675

Other Provider Identifiers:

IssuerNumberStateType
152975OR05
0000TCGZG04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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