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Casey Watson

Speech-Language Pathologist, in Portland, OR. Individual provider (NPI-1).

NPI number1245058445
StatusActive
Last updated in NPPESSep 27, 2024

Details

NPI
1245058445
Entity type
Individual (NPI-1)
Name
Casey Watson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2024
Certification date
Sep 27, 2024
Last updated
Sep 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

11855 Ne Glenn Widing Dr # F
Portland, OR 97220-9057

Phone 951-236-2874

Mailing address

1918 Se Clinton St
Portland, OR 97202-2243

Phone 951-236-2874

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