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1689393282
MALLARY ELLYN OWEN
PORTLAND, OR
NPI
1689393282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17365)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
MALLARY ELLYN OWEN MS CCC-SLP
17020 SW UPPER BOONES FERRY RD STE 201
PORTLAND, OR 97224-7078
Phone number: 503-894-1539
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Mailing Address
MALLARY ELLYN OWEN MS CCC-SLP
6146 SW 46TH AVE
PORTLAND, OR 97221-2818
Phone number: 602-616-8248
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