| NPI | 1962960922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CHEYANNE JOHNSON Speech Language Pathologist 503-974-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |