Healthcare Provider Details

I. General information

NPI: 1013936343
Provider Name (Legal Business Name): ANDREW S FRIEDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE M/S: M4-PFS
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6999
  • Fax: 206-625-7278
Mailing address:
  • Phone: 206-583-6025
  • Fax: 206-515-5886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD00031061
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: