| NPI | 1003533860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWAN ALLYN BUPP Speech Language Pathologist 541-232-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-05-22 |