Individual
AMY SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
4550 CARMAN DR, LAKE OSWEGO, OR 97035-2520
(503) 675-6055
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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