JILL NICOLE DEYMONAZ TATE

PORTLAND, OR
NPI1487896155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  12604)
Enumeration Date2009-03-27
Last Update Date2009-03-27
Business Address
Mrs. JILL NICOLE DEYMONAZ TATE SLP
4201 NE 80TH AVE
PORTLAND, OR 97218-4211
Phone number: 503-351-8599
Mailing Address
Mrs. JILL NICOLE DEYMONAZ TATE SLP
4201 NE 80TH AVE
PORTLAND, OR 97218-4211
Phone number: 503-282-2412
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