Frederick, Julie D.
Frederick, Julie D. is an sole proprietor health care provider with primary practice located at 9900 Sw Wilshire St Suite 160, Portland OR 97225-5035. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Frederick, Julie D. can be contacted via phone (503) 894-9255.Contact Information
Primary practice address
9900 Sw Wilshire St Suite 160
Portland OR 97225-5035
Phone: (503) 894-9255
Fax: (503) 385-0343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1006 | Oregon |
Profile Details
| NPI number | 1487635363 |
|---|---|
| LBN Legal business name | Frederick, Julie D. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jun 22nd, 2015 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487635363 | NPPES |
| Oregon | MEDICAID | 035142 |
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