| NPI | 1912491432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN BELLMORE Speech Language Pathologist 503-830-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-10-15 |