Individual
WESLEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 457-8206
Mailing address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60515136
WA
Other
Enumeration date
09/01/2016
Last updated
12/17/2021
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