Bax, Freda Brigitte

Bax, Freda Brigitte is an individual health care provider with primary practice located at 847 Ne 19Th Ave Ste 150 , Portland OR 97232-2686. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bax, Freda Brigitte can be contacted via phone (502) 232-1670.

Contact Information

Primary practice address
847 Ne 19Th Ave Ste 150 Portland OR 97232-2686
Phone: (502) 232-1670
Fax: (503) 764-9646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1568 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1568 Oregon

Profile Details

NPI number 1497769400
LBN Legal business name Bax, Freda Brigitte
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497769400 NPPES
Oregon MEDICAID 029055
Oregon MEDICAID 500655961

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