ANDREW MARC FRIEDE MD MPH NPI 1063979060

NPI Information

NPI: 1063979060
Provider Name: ANDREW MARC FRIEDE, MD, MPH
Classification: Preventive Medicine - 2083A0300X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 111 SW 5TH AVE
PORTLAND, OR
ZIP 97204
Phone: (260) 577-2266

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NPI Details

Andrew Marc Friede, MD, MPH is an addiction medicine preventive medicine in Portland, OR with 45 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. Andrew Marc Friede, MD, MPH NPI is 1063979060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

111 SW 5TH AVE
PORTLAND, OR
ZIP 97204-604
Phone: (260) 577-2266

The NPI 1063979060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/26/2019 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	35882	ALABAMA	No
2	2083A0300X	Preventive Medicine	Addiction Medicine	35882	ALABAMA	Yes
3	2083B0002X	Preventive Medicine	Obesity Medicine	35882	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12345	OTHER		PLACEHOLDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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