Individual
SHIINA YASUKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1242 11TH ST, CLARKSTON, WA 99403-2815
(509) 758-2523
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2019
Last updated
09/01/2020
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