Organization
LINDEGARD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARDER (SPEECH LANGUAGE PATHOLOGIST)
(503) 913-0404
Entity
Organization
Contact information
Practice address
2648 SW HAMILTON CT, PORTLAND, OR 97239-1216
(503) 913-0404
Mailing address
2648 SW HAMILTON CT, PORTLAND, OR 97239-1216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18085
OR
235Z00000X
Speech-Language Pathologist
12129083
OR
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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