Individual
MS. ITZEL VILLAGOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5901 S MACADAM AVE #130, PORTLAND, OR 97239
(503) 406-8669
Mailing address
1026 NW 20TH AVE. UNIT 37, PORTLAND, OR 97209
(661) 444-7540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16849
OR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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