Gordon Paul Friesen, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0006988 Issued in OR

Practice address

635 N Arrowleaf Trail
Sisters, OR 97759

Phone

(541) 549-6221

Fax

(541) 549-1110

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pill Box Drugs Inc

  • Community/Retail Pharmacy
  • Sisters, OR
  • NPI 1558448225
  NPD (past)
• Pill Box Drugs Inc

  • Community/Retail Pharmacy
  • Corvallis, OR
  • NPI 1871690719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1609487164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NW 17TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032498",
            "telephone_number": "541-385-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N ARROWLEAF TRAIL",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "541-549-6221",
            "fax_number": "541-549-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "GORDON",
        "middle_name": "PAUL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0006988",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0006988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Francis
• Amanda Frankel
• Frideres Dental LLC
• Frideres Dental LLC
• Trevor Mathias Bauer Frideres, D.M.D.
• Frontier Therapy, LLC
• Kelsey Grace Goertzen
• Margaret Norene Gonsiewski, LCSW
• Samantha Leigh Goodrich, B.A.
• Adriana Goodwin

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sisters, OR
• Providers in Sisters, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.