Individual
PATRICIA MAUREEN MIRANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5711 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3145
(503) 245-7621
Mailing address
5711 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3145
(503) 245-7621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021668
NY
235Z00000X
Speech-Language Pathologist
Primary
13609
OR
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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