Individual
KELLY FREEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
700 SW CAMPUS DR, PORTLAND, OR 97239-3107
(503) 418-5753
Mailing address
3181 SW SAM JACKSON PARK RD # UHS-8L, PORTLAND, OR 97239-3011
(503) 418-5753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8318
OR
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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