ELENA J KINGSTON

CORVALLIS, OR
NPI1215669080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  015796)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
ELENA J KINGSTON
1636 SW BROOKLANE DR
CORVALLIS, OR 97333-1633
Phone number: 831-239-9995
Mailing Address
ELENA J KINGSTON
1636 SW BROOKLANE DR
CORVALLIS, OR 97333-1633
Phone number: 831-239-9995