MEDICARE: NATHAN DONALD FRIEDKIN

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	225700000X	Massage Therapist	25056	OR

General Provider Information

NPI Number	:	1609499508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN DONALD FRIEDKIN

Provider Business Mailing Address
First Line	:	501 PLEASANT AVE STE 5E
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-2637
Country	:	US
Telephone Number	:	971-409-0928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 DIVISION ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1521
Country	:	US
Telephone Number	:	971-409-0928
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	10/26/2023

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Directions to “ NATHAN DONALD FRIEDKIN ” Practice Location

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