| NPI | 1457731093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBERLY TUCKFIELD Director 971-678-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5249) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |