Healthcare Provider Details

I. General information

NPI: 1336103118
Provider Name (Legal Business Name): DEBORAH ANN FRIEZE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E G5-900
SEATTLE WA
98109-4405
US

IV. Provider business mailing address

137 N 83RD ST
SEATTLE WA
98103-4207
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-6279
  • Fax: 206-288-6998
Mailing address:
  • Phone: 206-789-2151
  • Fax: 206-288-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH00048175
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: