PHAEDRA ANN URBAN

PORTLAND, OR
NPI1578753778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  012829)
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
Mrs. PHAEDRA ANN URBAN
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-8095
Mailing Address
Mrs. PHAEDRA ANN URBAN
2241 LLOYD CTR
PORTLAND, OR 97232-1315
Phone number: 503-494-8417