Organization
DAVID M FREED PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M FREED PHD (PRESIDENT)
(503) 362-9357
Entity
Organization
Contact information
Practice address
1180 CROSS ST SE, SALEM, OR 97302-2924
(503) 362-9357
(503) 362-9424
Mailing address
1180 CROSS ST SE, SALEM, OR 97302-2924
(503) 362-9357
(503) 362-9424
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
1477
OR
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278094
—
OR
Enumeration date
05/07/2007
Last updated
07/23/2009
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