Individual
CAROL WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10401 NE FOURTH PLAIN RD, SUITE 101, VANCOUVER, WA 98662-6308
(360) 892-5142
(360) 892-2157
Mailing address
12620 SW BUTNER RD, BEAVERTON, OR 97005-0860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003718
WA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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