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1386287100
KATHRYN GRACE WALLER
PORTLAND, OR
NPI
1386287100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 016634)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
KATHRYN GRACE WALLER M.S., CFY-SLP
8643 NE BEECH ST
PORTLAND, OR 97220-5012
Phone number: 503-256-2151
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Mailing Address
KATHRYN GRACE WALLER M.S., CFY-SLP
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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