Individual
MARIANNE CASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
2109 NW IRVING ST UNIT 305, PORTLAND, OR 97210-3282
(541) 941-7650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14129441
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
16356
SPEECH-LANGUAGE PATHOLOGY LICENSE
OR
Enumeration date
09/03/2018
Last updated
09/03/2018
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