| NPI | 1710253109 |
|---|---|
| Doing Business As | LEGACY SALMON CREEK PEDIATRIC REHAB |
| Entity Type | Organization |
| Authorized Contact | SARAH WHITE Credentialing Support 503-413-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60230943 / Interim) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |