| NPI | 1124469325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY REBECCA ROSE Owner/Director 503-894-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015000) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |