| NPI | 1972013977 | 
|---|---|
| Doing Business As | COLUMBA PEDIATRIC THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | KENDRA HOLLOWAY Provider 503-567-6326  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2017-10-04 | 
| Last Update Date | 2022-05-12 |