| NPI | 1811739550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LYNN DOTY Speech Language Pathologist 503-916-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |