| NPI | 1013061969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RUSHMER Executive Director 503-802-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 10898) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |