| NPI | 1912329459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE HART Clinic Assistant And Credentialing 503-433-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13513) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 233731) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |