Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073225348 Individual Practitioner Female Practitioner

Evangeline Friedbaum , PA-C

Physician Assistant • Forest Grove, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Evangeline Friedbaum, PA-C is a certified Physician Assistant practicing in Forest Grove, OR. With approximately 3 years of clinical experience since completing medical education in 2023, Evangeline Friedbaum delivers high-quality medical care to the local community at 1909 MOUNTAIN VIEW LN STE 200.

Evangeline Friedbaum is affiliated with Timothy J Gray Do Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1909 Mountain View Ln Ste 200

Forest Grove, OR 971162894

Telephone 5033594773
Fax 5033593809
Associated Practice Facility / Clinic
🏢 Timothy J Gray Do Llc Facility NPI 1477518694

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Forest Grove, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Forest Grove, OR (2106 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Friedbaum (3 Years) 3 Yrs
Forest Grove Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
54 40 $337.50 $99.41
99213 Established patient office or other outpatient visit, typically 15 minutes
45 43 $239.40 $70.90

Medical Specialties & State Licenses

CMS Verified: 2025-05-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500831809 (OR)

Hospital & Practice Group Affiliations

Timothy J Gray Do Llc

1909 Mountain View Ln, Forest Grove, OR 971162894

Phone: 5033594773

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Timothy Gray , DO

Family Medicine

NPI 1003810441

Doctor of Osteopathic Medicine (D.O.)

Tarisa Olinski , PA-C

Physician Assistant

NPI 1043100043

Physician Assistant (Certified)

Cassandra Smith , PA

Physician Assistant - Medical

NPI 1093357378

Physician Assistant

Thomas Gray

Family Medicine

NPI 1174898373
Emily Mower , PA

Physician Assistant

NPI 1235854795

Physician Assistant

Erin Helton , PA-C

Physician Assistant

NPI 1316256530

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address October 18, 2024

Registered at 1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 971162894 (Tel: 5033594773)

📍
Updated Practice Location January 29, 2024

Registered at 1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 971162894 (Tel: 5033594773)

📍
Updated Business Mailing Address January 29, 2024

Registered at 2990 NE OVERLOOK DR APT 1832, HILLSBORO, OR 971247225 (Tel: 3852388141)

👤
Provider Name / Credentials Updated January 29, 2024

Recorded as EVANGELINE FRIEDBAUM, PA-C

NPI Profile Active December 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2022

Registered at 4415 NORTHCREST DR APT 1124, MIDLAND, TX 797073242 (Tel: 3852388141)

📍
Updated Business Mailing Address December 19, 2022

Registered at 4415 NORTHCREST DR APT 1124, MIDLAND, TX 797073242 (Tel: 3852388141)

👤
Provider Name / Credentials Updated December 19, 2022

Recorded as EVANGELINE FRIEDBAUM, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Evangeline Friedbaum. Be the first to share your experience!

Sign in to leave a review for Evangeline Friedbaum

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1073225348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2022
Last Update: May 23, 2025
Sole Proprietor: Yes

Mailing Address

1909 Mountain View Ln Ste 200

Forest Grove, OR 971162894

Phone: 5033594773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.