NPI 1497769400 · live from the CMS NPI Registry
Freda Brigitte Bax, Psy.D.
Psychologist in Portland, OR. National Provider Identifier 1497769400, active.
NPI record
| NPI | 1497769400 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 847 Ne 19th Ave Ste 150, Portland, OR 97232 |
| Practice phone | 502-232-1670 |
| Enumerated | July 27, 2006 |
| Last updated | June 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Health Service | 103TH0100X | 1568 (OR) |
| Psychologist primary | 103T00000X | 1568 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.