MEDICARE: DR. SEAN MICHAEL FRIEND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OR19915	OR

General Provider Information

NPI Number	:	1477643443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN MICHAEL FRIEND M.D.

Provider Business Mailing Address
First Line	:	5050 NE HOYT ST STE 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2956
Country	:	US
Telephone Number	:	503-230-9224
Fax Number	:	503-230-9201

Provider Business Practice Location Address
First Line	:	5050 NE HOYT ST STE 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2956
Country	:	US
Telephone Number	:	503-230-9224
Fax Number	:	503-230-9201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	02/13/2026

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