Individual
KATHERINE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SE 117TH AVE, PORTLAND, OR 97216-3906
(503) 256-6507
Mailing address
1900 SE 117TH AVE, PORTLAND, OR 97216-3906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015627
OR
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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