NPI | 1902170343 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA BACUYANI Manager 541-316-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12904) |
Enumeration Date | 2012-03-02 |
Last Update Date | 2019-06-24 |