Aaron Friedman, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gladstone, OR
NPI 1912688136 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1912688136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 10009510 (OR)
- Practice address
- 890 82ND Dr
Gladstone, OR 97027-1803 - Phone
- (503) 659-5515
- Fax
- (503) 212-2292
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604002455 | OR | Practitioner - Nurse Practitioner | 9638523103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current |
Accepting new patients | |
| Western Psychological and Counseling Services LLC | Current |
Accepting new patients |
Locations
890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
10151 SE Sunnyside Rd
Ste 480
Happy Valley, OR 97015
Phone (503) 739-8321
18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000
1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515
Interoperability endpoints
- lifestancehealth.aaronfriendman@148835.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10009510 | OR | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61459903 | WA |
Addresses
Primary practice location
890 82ND Dr
Gladstone, OR 97027-1803
Mailing address
12503 SE Mill Plain Blvd Ste 123
Vancouver, WA 98684-4007
Phone (360) 334-9942
Other providers in Gladstone, OR
- David L Finke
- Christina Laree Foerster
- Gennady Fortuna
- Preston Ray Frase
- David Frazee
- Genet Friess
- Artem Frolov
- Vinay Gaglani
- Francisco Garcia
- Megan M Geary
All providers in Gladstone, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.