Organization
PARKWOOD CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY REBECCA ROSE M.S., CCC-SLP (OWNER/DIRECTOR)
(503) 894-1539
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE, STE 620, PORTLAND, OR 97205-2125
(502) 894-1539
Mailing address
833 SW 11TH AVE, STE 620, PORTLAND, OR 97205-2125
(502) 894-1539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015000
OR
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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