Individual
LAURA VIGELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
(503) 256-6500
Mailing address
10197 SE BELL AVE, MILWAUKIE, OR 97222-2533
(503) 475-0241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015911
OR
Other
Enumeration date
12/28/2017
Last updated
03/17/2018
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