JONATHAN FRIEDMAN
NPI 1801441993
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 06, 2019PECOS Enrolled
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 956-1287 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2020, Aug 6, 2019 (2 updates tracked since 2019).

About Jonathan Friedman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN FRIEDMAN (NPI 1801441993) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Chicago.

NPPES Registry Identity

NPI1801441993
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN FRIEDMAN
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address12878 Sierra Vista DrLake Oswego, OR 97035-5777
Sole ProprietorYes
Enumeration DateAugust 6, 2019
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1801441993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 NW 22ND AVE, Portland, OR 97210

Secondary Practice Location 1

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (503) 956-1287

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Friedman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Friedman's NPI number?

The NPI number for Jonathan Friedman is 1801441993. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Jonathan Friedman located?

Jonathan Friedman practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 956-1287.

What is Jonathan Friedman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Friedman enrolled in Medicare?

Yes. Jonathan Friedman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Friedman was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.