Individual
ZOE KRISTIN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
6127 SE 87TH AVE, PORTLAND, OR 97266-5325
(503) 307-4538
Mailing address
6127 SE 87TH AVE, PORTLAND, OR 97266-5325
(503) 307-4538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12226
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12052494
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
12226
STATE OF OREGON SPEECH LANGUAGE PATHOLOGY LICENCE NUMBER
OR
Enumeration date
12/18/2013
Last updated
12/18/2013
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