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1215516828
NICHOLAS B ERTSGAARD
SALEM, OR
NPI
1215516828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17386)
Enumeration Date
2021-04-02
Last Update Date
2021-12-27
Business Address
NICHOLAS B ERTSGAARD M.S. CF-SLP
3220 LIBERTY RD S
SALEM, OR 97302-4560
Phone number: 503-749-9743
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Mailing Address
NICHOLAS B ERTSGAARD M.S. CF-SLP
5191 SEEGER LN SE
SALEM, OR 97306-1986
Phone number: 503-983-5573
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