Individual
MRS. OLIYA YEGOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
909 SW 18TH AVE, PORTLAND, OR 97205-1705
(503) 962-1954
Mailing address
909 SW 18TH AVE, PORTLAND, OR 97205-1705
(503) 962-1907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13597
OR
Other
Enumeration date
05/10/2016
Last updated
01/10/2019
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