Individual
ADELE KELLY PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 SW PAVILION LOOP, PORTLAND, OR 97239
(503) 494-5947
Mailing address
3270 SW PAVILION LOOP, PORTLAND, OR 97239
(503) 494-5947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17591
OR
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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