LARRY STEPHEN FRIEDMAN (NPI# 1417923285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417923285 |
| Entity Type | Individual |
| Full Name | LARRY STEPHEN FRIEDMAN |
| Credential | PHD |
| Practice Address |
921 Sw Washington Ste 814 Portland OR 97205-2826 |
| Practice Telephone | 5032235441 |
| Practice Fax Number | 5032214277 |
| Mailing Telephone | 5032235441 |
| Mailing Fax Number | 5032214277 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 675 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 152975 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566895 | Larry J Friedman | Internal Medicine | 3051 Long Beach Rd, Oceanside, NY 11572-3240 | 2005-11-22 |
| 1902854821 | Larry Friedman | Physician Assistant | 100 E 77th St, New York, NY 10021-1850 | 2006-05-04 |
| Street Address |
921 SW WASHINGTON STE 814 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972625044 | Fred Kent Coler | Psychiatry & Neurology | 921 Sw Washington, Suite 812, Portland, OR 97205-2826 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
| 1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
| 1437215712 | Patrice Deidre Carrello | Clinical Neuropsychologist | 2354 Se 59th Ave, Portland, OR 97215-4018 | 2006-12-29 |
| 1386722247 | Donald Edward Lange | Clinical Neuropsychologist | 8040 Sw Capitol Hill Rd, Portland, OR 97219-2670 | 2006-11-01 |
| 1497831713 | James (jim) Charles Johnson | Clinical Neuropsychologist | 516 Se 71st Ave, Portland, OR 97215-2132 | 2006-10-29 |
| 1245327501 | Julia Ann Wong-ngan | Clinical Neuropsychologist | 205 Se Spokane St Ste 300, Portland, OR 97202-6487 | 2006-10-06 |
| 1295820389 | Nadia E. Webb | Clinical Neuropsychologist | 1631 Ne Broadway Street. No. 237, Portland, OR 97232 | 2006-10-04 |
| 1720094477 | Thomas G Miller | Clinical Neuropsychologist | 86 Dartmouth St, Portland, ME 04103-4808 | 2006-08-01 |
| 1811923246 | Dawn Wilkinson | Clinical Neuropsychologist | 458 N Broadway, Suite B, Portland, TN 37148-1767 | 2006-06-25 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.