Individual
KEGAN CORRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SW 11TH AVE, SUITE 620, PORTLAND, OR 97205-2125
(503) 869-7290
Mailing address
833 SW 11TH AVE, SUITE 620, PORTLAND, OR 97205-2125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15051
OR
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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