Provider Demographics
NPI:1467656439
Name:FRIEBERG, SUZANNE (FNP)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:FRIEBERG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1526
Mailing Address - Country:US
Mailing Address - Phone:503-655-7585
Mailing Address - Fax:503-655-7585
Practice Address - Street 1:1505 DIVISION ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1526
Practice Address - Country:US
Practice Address - Phone:503-655-7585
Practice Address - Fax:503-655-7585
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200650142NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily