COLIN SCOTT MISICH

PORTLAND, OR
NPI1285302182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  17047)
Enumeration Date2021-09-03
Last Update Date2021-09-03
Business Address
COLIN SCOTT MISICH
3130 SE STARK ST
PORTLAND, OR 97214-3000
Phone number: 503-535-4700
Mailing Address
COLIN SCOTT MISICH
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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