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1235893082
SUSAN B WIGGINS
PORTLAND, OR
NPI
1235893082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17246)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
SUSAN B WIGGINS M.Ed, M.S
9750 NE GLISAN ST
PORTLAND, OR 97220-4449
Phone number: 503-256-3920
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Mailing Address
SUSAN B WIGGINS M.Ed, M.S
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-364-0611
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