Individual
HALEY PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 927-3598
Mailing address
6527 SE 90TH AVE, PORTLAND, OR 97266-5217
(310) 795-9523
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0772
OR
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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