Individual
HEIDI SUE SOBOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
2120 SW JEFFERSON ST STE B200, PORTLAND, OR 97201-7727
(503) 244-4083
Mailing address
27640 SE ORIENT DR, GRESHAM, OR 97080-8254
(503) 866-7866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015195
OR
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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