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Individual

RACHEL TENNANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 97477-7723
(541) 371-2782
Mailing address
888 E 18TH AVE APT 7, EUGENE, OR 97401-4429

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17219
OR

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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