Speech Therapy Associates
Speech-Language Pathologist, in Beaverton, OR. Organization (NPI-2).
NPI number1760660864
StatusActive
Last updated in NPPESJan 31, 2008
Details
- NPI
- 1760660864
- Entity type
- Organization (NPI-2)
- Legal business name
- Speech Therapy Associates
- Organization subpart
- No
- Enumeration date
- Jan 31, 2008
- Last updated
- Jan 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 11865 | OR | Yes |
Practice location
12555 Sw 3rd StBeaverton, OR 97005-0517
Phone 503-646-0837 · Fax 503-643-5057
Mailing address
12555 Sw 3rd StBeaverton, OR 97005-0517
Phone 503-646-0837 · Fax 503-643-5057
Authorized official
Ian Powell
Speech Pathologist
5036460837
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