| NPI | 1578637096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAISE SCOLLARD Owner 503-665-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 10394) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-07-02 |