| NPI | 1730635947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANIE JOHNSON Owner 503-926-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015230) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |