| NPI | 1205496528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROD P MICHAEL Owner, Speech Language Pathologist 541-728-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-04-20 |