Healthcare Provider Details

I. General information

NPI: 1437342862
Provider Name (Legal Business Name): AIMEE JEAN FRIEZE ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E MAIN ST
BATTLE GROUND WA
98604-8506
US

IV. Provider business mailing address

728 ASH ST
LAKE OSWEGO OR
97034-4806
US

V. Phone/Fax

Practice location:
  • Phone: 360-687-4492
  • Fax:
Mailing address:
  • Phone: 541-520-9093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4144
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number61184022
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: