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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487635363 NPPES
Oregon MEDICAID 035142

Popular Providers