| NPI | 1134590607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GARDER Speech Language Pathologist 503-913-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-15-18085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12129083) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |