Individual
COLLEEN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
366 N HOLLY ST, CANBY, OR 97013-3739
(503) 266-1030
Mailing address
PO BOX 946, CANBY, OR 97013-0946
(503) 266-1030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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