Individual
STEPHANIE RAE FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4751
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4751
P.T. LICENSE NUMBER
OR
Enumeration date
12/21/2006
Last updated
04/23/2013
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