| NPI | 1215651104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNE LEVINE Speech Language Pathologist 541-944-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-12-22 |