Individual
VICTORIA ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1116
(503) 331-6332
Mailing address
103 NE FARGO ST, PORTLAND, OR 97212
(503) 869-3792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12130
OR
235Z00000X
Speech-Language Pathologist
LL00003458
WA
Other
Enumeration date
10/03/2006
Last updated
01/11/2022
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