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1215639240
NICHOLAS ANTICO
PORTLAND, OR
NPI
1215639240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17509)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
NICHOLAS ANTICO M.S., CCC-SLP
17020 SW UPPER BOONES FERRY RD STE 201
PORTLAND, OR 97224-7078
Phone number: 503-894-1539
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Mailing Address
NICHOLAS ANTICO M.S., CCC-SLP
17020 SW UPPER BOONES FERRY RD STE 201
PORTLAND, OR 97224-7078
Phone number:
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