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1265188619
ALEXANDRIA VIDALON
LAKE OSWEGO, OR
NPI
1265188619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 015886)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
ALEXANDRIA VIDALON MS, CCC-SLP
15630 BOONES FERRY RD STE 6
LAKE OSWEGO, OR 97035-3455
Phone number: 971-346-0355
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Mailing Address
ALEXANDRIA VIDALON MS, CCC-SLP
11143 NE SCHUYLER ST
PORTLAND, OR 97220-1941
Phone number: 954-478-9277
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