| NPI | 1154615714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DAVIS Speech Language Pathologist/Owner 503-901-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 012656) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |