Freda Brigitte Bax in Portland - Health Service

Freda Brigitte Bax - NPI 1497769400

Freda Brigitte Bax is a Health Service in Portland, Oregon. Freda Brigitte Bax practices all healthcare services and medical treatments related to Health Service. The NPI Number for Freda Brigitte Bax is 1497769400. The last update date is 2023-06-02.

Freda Brigitte Bax's current location address is 847 Ne 19th Ave Ste 150, Portland, Oregon. You can contact this provider via phone number 5032321670 and fax number 5037649646. The mailing address for Freda Brigitte Bax is 847 Ne 19th Ave Ste 150, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Freda Brigitte Bax
Address 847 Ne 19th Ave Ste 150, Portland, Oregon
Phone Number 5032321670
Fax Number 5037649646
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1497769400
Provider Enumeration Date 2006-07-27
Last Updated Date 2023-06-02

Provider Mailing Address Detail

Address 847 Ne 19th Ave Ste 150
City Portland
State Oregon (OR)
Post Code 972322686
Phone Number 5032321670
Fax Number 5037649646

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 1568
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
29055 OR --
500655961 OR --

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FAQs about Freda Brigitte Bax

What is the Freda Brigitte Bax's unique identification number?

The Freda Brigitte Bax has been assigned the NPI (National Provider Identifier) Number 1497769400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Freda Brigitte Bax?

The Freda Brigitte Bax is physically situated at 847 Ne 19Th Ave Ste 150, in the city of Portland, state of OR, with the postal code 972322686.

What is Freda Brigitte Bax's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Freda Brigitte Bax is Health Service, and the taxonomy code that categorizes this field of expertise is 103Th0100X.

On what date did the Freda Brigitte Bax receive its 1497769400 assignment from the Centers for Medicare & Medicaid Services?

The Freda Brigitte Bax was assigned its 1497769400 by the Centers for Medicare & Medicaid Services on 2006-07-27.

As of what date was the information regarding Freda Brigitte Bax, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Freda Brigitte Bax, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-02.

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