Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Freddie Donald Joseph III

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1538513031

Freddie Donald Joseph III is a Pediatric Medicine in Portland, Oregon. Graduated from University of Texas Medical Branch at Galveston in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona, Oregon and Texas.

Years since qualifying
10
Trained at
University of Texas Medical Branch at Galveston
Licensed in
AZ, OR, TX
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (800) 452-3563
Fax: (503) 494-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 — (520) 694-0111

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence MD228228 (OR)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 74819 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence BP10055833 (TX)

Record details

NPI number1538513031
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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