Kurt Edwin Free, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0591 Issued in OR

Practice address

4900 SW Griffith Dr
Suite 263
Beaverton, OR 97005-5607

Phone

(503) 646-7678

Fax

(503) 627-9145

NPI assigned

Nov 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1245305119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 263",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-646-7678",
            "fax_number": "503-627-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 263",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-646-7678",
            "fax_number": "503-627-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "KURT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret (Mags) Frazier, M.S., CF-SLP
• Fred Meyer Stores Inc
• Fred Meyer Stores Inc
• Frederick J Massar DMD PC
• Delinda Louise Free, LCSW, LMT
• Thomas Freedland, DC
• Freedom PT
• Mark Freeman
• Michael Wayne Freier
• Daniel Earl French, D.M.D.

• Clinical Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.