Individual
MRS. NICOLE L GAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 249-3323
Mailing address
6765 SW PRESLYNN DR, PORTLAND, OR 97225-2668
(503) 320-6815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12429
OR
Other
Enumeration date
08/30/2006
Last updated
12/17/2021
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