Individual
KELSEY GONWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6523 SE KING RD, MILWAUKIE, OR 97222-2538
(503) 852-1375
Mailing address
6523 SE KING RD, MILWAUKIE, OR 97222-2538
(503) 852-1375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18279
OR
Other
Enumeration date
11/13/2017
Last updated
09/10/2024
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