Provider Demographics
NPI:1790959377
Name:FREUEN, NICHOLAS DOWNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DOWNEY
Last Name:FREUEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W CASCADE WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6000
Mailing Address - Country:US
Mailing Address - Phone:509-468-1535
Mailing Address - Fax:509-467-6372
Practice Address - Street 1:101 W CASCADE WAY STE 103
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6000
Practice Address - Country:US
Practice Address - Phone:509-468-1535
Practice Address - Fax:509-467-6372
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603782651223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery