| NPI | 1508500521 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HEID SUE SOBOTKA Owner / Speech Lang Pathologist 503-866-7866 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech | 
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy | 
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-04-26 | 
| Last Update Date | 2022-04-26 |