| NPI | 1326582115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILLIAMS CORNELIUS Member/Owner 503-577-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12566) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |