Individual
CAROLINE SUSANNAH SALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5319 SW WESTGATE DR, PORTLAND, OR 97221-2411
(503) 297-4052
Mailing address
8332 N DICKENS ST, PORTLAND, OR 97203-3020
(818) 395-7873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093165623
—
OR
Enumeration date
07/13/2017
Last updated
07/13/2017
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