Individual
KARLY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Mailing address
7320 SW HUNZIKER, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15839
OR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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