Individual
RACHEL PREVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
13200 SW BUTNER RD, BEAVERTON, OR 97005-0851
(702) 305-7842
Mailing address
13200 SW BUTNER RD, BEAVERTON, OR 97005-0851
(404) 317-7374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15113
OR
235Z00000X
Speech-Language Pathologist
SLP007067
GA
235Z00000X
Speech-Language Pathologist
SP-2108
NV
235Z00000X
Speech-Language Pathologist
SP20470
CA
235Z00000X
Speech-Language Pathologist
SP2108
NV
Other
Enumeration date
05/06/2014
Last updated
04/02/2024
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