Individual
NICHOLAS B ERTSGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CF-SLP
Contact information
Practice address
3220 LIBERTY RD S, SALEM, OR 97302-4560
(503) 749-9743
Mailing address
5191 SEEGER LN SE, SALEM, OR 97306-1986
(503) 983-5573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17386
OR
Other
Enumeration date
04/02/2021
Last updated
12/27/2021
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