| Doctor Name: | AMANDA CHRISTINE FRESCHAUF |
| NPI Number: | 1093000101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | TL-4094 |
| Business Practice Address: | 34709 9th Ave S Ste B-500 Federal Way, WA - 980038722 |
| Business Phone Number: | 2539446950 |
| Business Fax Number: | 2536618603 |
| Mailing Address: | 34709 9th Ave S, Ste B-500 FEDERAL WAY |
| State: | WA |
| Postal Code: | 980038722 |
| Phone Number: | 2539446950 |
| Fax Number: | 2536618603 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | TL-4094 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |