Individual
MS. KATHERINE DOMAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1441 OAK ST, # 4, EUGENE, OR 97401-7726
(541) 371-2782
Mailing address
1441 OAK ST, # 4, EUGENE, OR 97401-7726
(541) 371-2782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13304
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689352
—
OR
Enumeration date
06/30/2015
Last updated
10/23/2016
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