Individual
JULIE BALDERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 NW GRANT AVE, CORVALLIS, OR 97330-4586
(541) 207-7674
Mailing address
3308 NW SILKTASSEL DRIVE, CORVALLIS, OR 97330
(541) 207-7674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11986
OR
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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