Provider Demographics
NPI:1689652265
Name:FRIEDMAN, JESSICA S (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:S
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1755 COBURG RD UNIT 503
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4900
Mailing Address - Country:US
Mailing Address - Phone:541-505-7510
Mailing Address - Fax:541-654-0418
Practice Address - Street 1:330 S GARDEN WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8176
Practice Address - Country:US
Practice Address - Phone:541-686-7007
Practice Address - Fax:541-726-5028
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD20982207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR151171Medicaid
OR151171Medicaid
G66957Medicare UPIN