SUSAN ANN FODELL

PORTLAND, OR
NPI1205874096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  012628)
Enumeration Date2006-06-03
Last Update Date2007-07-17
Business Address
-- SUSAN ANN FODELL CCC-SLP
6327 SE MILWAUKIE AVE
PORTLAND, OR 97202-5418
Phone number: 503-418-2268
Mailing Address
-- SUSAN ANN FODELL CCC-SLP
6327 SE MILWAUKIE AVE
PORTLAND, OR 97202-5418
Phone number: 503-418-2268
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