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Organization
BEECH STREET SPEECH AND LANGUAGE LLC
Active
Organization
BEECH STREET SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA LARRO (ADMINISTRATIVE DIRECTOR)
(503) 927-3598
Entity
Organization
Contact information
Practice address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 927-3598
(971) 200-5761
Mailing address
5724 NE BEECH ST, PORTLAND, OR 97213-3257
(503) 927-3598
(971) 200-5761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
05/04/2023
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