Individual
AMANDA POIRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2460 HIGHGATE ST APT 5, MEDFORD, OR 97501-7958
(541) 631-3677
Mailing address
2460 HIGHGATE ST APT 5, MEDFORD, OR 97501-7958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016458
OR
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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