Provider Demographics
NPI:1578877528
Name:FREED, LINDSAY IRENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:IRENE
Last Name:FREED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:FREED
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12889 NW CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-5813
Mailing Address - Country:US
Mailing Address - Phone:503-643-6643
Mailing Address - Fax:
Practice Address - Street 1:12889 NW CORNELL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-5813
Practice Address - Country:US
Practice Address - Phone:503-643-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD94741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice