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1629627997
BEN CARLSTROM
PORTLAND, OR
NPI
1629627997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 016632)
Enumeration Date
2019-09-09
Last Update Date
2019-09-29
Business Address
BEN CARLSTROM M.S. CF-SLP
3320 SE HOLGATE BLVD
PORTLAND, OR 97202
Phone number: 503-231-1411
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Mailing Address
BEN CARLSTROM M.S. CF-SLP
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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