Individual
LAUREN WEERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(502) 215-5293
Mailing address
5626 NE SANDYCREST TER, PORTLAND, OR 97213-3438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16920
OR
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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