Provider Demographics
NPI:1649637653
Name:FRIEND, ABIGAIL JOY (AUD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:JOY
Last Name:FRIEND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JUNHUA
Other - Middle Name:
Other - Last Name:BIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4011 TALBOT RD S STE 210
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5791
Mailing Address - Country:US
Mailing Address - Phone:425-690-3602
Mailing Address - Fax:425-690-9602
Practice Address - Street 1:4011 TALBOT RD S STE 210
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5791
Practice Address - Country:US
Practice Address - Phone:425-690-3602
Practice Address - Fax:425-690-9602
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
WALD60907581231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2175969Medicaid
WA435035OtherWA LABOR & INDUSTRIES