Individual
CARRIE ESKENAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
915 NW GRANT AVE, CORVALLIS, OR 97330-4503
(530) 598-1828
(541) 585-0898
Mailing address
915 NW GRANT AVE, CORVALLIS, OR 97330-4503
(305) 981-8285
(541) 585-0898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12561
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240193
OMAP
OR
01
—
840625002
BLUE CROSS BLUE SHIELD
OR
01
—
H2669-02
PACIFIC SOURCE
OR
Enumeration date
11/01/2006
Last updated
06/03/2025
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