Individual
TINA HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3099 RIVER RD S STE 150, SALEM, OR 97302-9754
(503) 581-1567
(503) 485-2590
Mailing address
4751 49TH AVE NE, SALEM, OR 97305-3302
(503) 390-8520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10912
OR
Other
Enumeration date
03/28/2013
Last updated
04/22/2013
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