Organization
MINDSIGHTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDA B BAX PSY.D. (SECRETARY/TREASURER)
(503) 222-0707
Entity
Organization
Contact information
Practice address
516 SE MORRISON ST, SUITE 1110, PORTLAND, OR 97214-2327
(503) 222-0707
(503) 764-9646
Mailing address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 222-0707
(503) 764-9646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1568
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1568
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661389
—
OR
Enumeration date
05/31/2013
Last updated
09/01/2022
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