Individual
AMANDA KAY NEMATBAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1024 SE 44TH AVE, #2, PORTLAND, OR 97215-2463
(971) 226-0588
Mailing address
1024 SE 44TH AVE, #2, PORTLAND, OR 97215-2463
(971) 226-0588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13515
OR
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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