| NPI | 1508353889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MARY GHELLI Sole Member 503-705-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003093) |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |