Individual
ASHLEY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
625 N ARROWLEAF TRL, SISTERS, OR 97759-2610
(541) 904-0458
(541) 241-2835
Mailing address
69573 HALTER, SISTERS, OR 97759-9536
(541) 904-0458
(541) 241-2835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015403
OR
Other
Enumeration date
10/13/2017
Last updated
01/20/2020
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