| NPI | 1649911884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWAN ALLYN BUPP Speech Language Pathologist/Owner 541-232-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2022-04-03 |