| NPI | 1497968622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M FREED President 503-362-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1477) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2009-07-23 |