| NPI | 1306284518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE RUIZ Office Manager 503-926-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12564) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 1069889) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-06-21 |