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Individual

KATHERINE MICHELLE DEVEREAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 NE ROSELAWN ST, PORTLAND, OR 97211-4452
(775) 230-2201
Mailing address
1109 NE ROSELAWN ST, PORTLAND, OR 97211-4452
(775) 230-2201

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015325
OR
235Z00000X
Speech-Language Pathologist
SP-1590
NV

Other

Enumeration date
07/31/2014
Last updated
11/08/2016
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