Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD26220 | OR |
NPI | 1043379860 |
---|---|
Provider Name | Jason Harlow Friesen |
First Address | Eugene, OR 97401-4043 |
Second Address | Eugene, OR 97401-4043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 29/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H70798 | (02) | WA |