| NPI | 1558592774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISAKO SUZUKI Speech Language Pathologist 503-756-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 13193) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-12-22 |