Individual
FREDDIE DONALD JOSEPH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(800) 452-3563
(503) 494-4447
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10055833
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD228228
OR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
74819
AZ
Other
Enumeration date
04/20/2016
Last updated
04/24/2026
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