Organization
IRL SOCIAL SKILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA WHITNEY MCLOUGHLIN MS, CCC-SLP (FOUNDER)
(971) 373-4836
Entity
Organization
Contact information
Practice address
10605 SE BUSH ST, PORTLAND, OR 97266-2380
(971) 373-4836
(971) 279-6879
Mailing address
10605 SE BUSH ST, PORTLAND, OR 97266-2380
(971) 373-4836
(971) 279-6879
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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