NPI | 1760660864 |
---|---|
Entity Type | Organization |
Authorized Contact | IAN POWELL Speech Pathologist 503-646-0837 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 11865) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |