Individual
SAMUEL SKAALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34651 SE KELSO RD, BORING, OR 97009-7041
(503) 668-8020
Mailing address
1425 SW CLAY ST APT 304, PORTLAND, OR 97201-6008
(608) 213-6956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14297262
CO
235Z00000X
Speech-Language Pathologist
Primary
17185
OR
Other
Enumeration date
09/24/2019
Last updated
05/01/2022
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