| NPI | 1164039640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA RASMUSSEN Speech Pathologist, Owner 971-236-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |