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1396309159
LAURA KAY BERGSTROM
MILWAUKIE, OR
NPI
1396309159
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Former Name
LAURA KAY GREENBLAT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OR 11565)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
LAURA KAY BERGSTROM CCC-SLP
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 503-267-4096
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Mailing Address
LAURA KAY BERGSTROM CCC-SLP
1333 10TH ST
WEST LINN, OR 97068-4626
Phone number: 503-583-4497
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