# COMPREHENSIVE SPEECH LANGUAGE PATHOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487246104
- **Authorized official:** SHANNAN MARIE O'DONNELL (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (574) 274-8455

## Contact information

- **Practice address:** 210 W 4TH ST, VANCOUVER, WA 98660-3493
- **Practice address phone:** (574) 274-8455
- **Mailing address:** 7120 NE 8TH AVE UNIT A, PORTLAND, OR 97211-3526
- **Mailing address phone:** (574) 274-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2021
- **Last updated:** 09/06/2023