Individual
CORONA M FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-7300
Mailing address
3421 SW LURADEL ST, PORTLAND, OR 97219-6940
(503) 977-6369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25498
OR
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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