Individual
LORI FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19249 CARMELITA DR, OREGON CITY, OR 97045-7552
(503) 688-7841
(503) 688-7841
Mailing address
19249 CARMELITA DR, OREGON CITY, OR 97045-7552
(503) 688-7841
(503) 688-7841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110833
MEDICARE PROVIDER NUMBER
OR
Enumeration date
04/28/2008
Last updated
03/20/2024
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