Doctor Name: | CHRISTINA LILLIAN FRIESEN |
NPI Number: | 1396907523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00013555 |
Business Practice Address: | 532 Ne 3rd Ave Suite 100 Camas, WA - 986072101 |
Business Phone Number: | 3608346964 |
Business Fax Number: | 3608346847 |
Mailing Address: | 3100 Se 168th Ave, #80 VANCOUVER |
State: | WA |
Postal Code: | 986832101 |
Phone Number: | 3607180651 |
Fax Number: | 5037617350 |
NPI Enumeration Date: | 06/29/2008 |
NPI Last Update Date: | 06/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00013555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |