Healthcare Provider Details

I. General information

NPI: 1528557030
Provider Name (Legal Business Name): ABRAH LORENA FRIBERG BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W MAIN ST
EVERSON WA
98247-8217
US

IV. Provider business mailing address

1012 E HEMMI RD
EVERSON WA
98247-9777
US

V. Phone/Fax

Practice location:
  • Phone: 360-223-0201
  • Fax:
Mailing address:
  • Phone: 425-349-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: