Individual
MRS. RENEE C OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
611 GRAND BLVD, VANCOUVER, WA 98661-4918
(360) 696-6525
(360) 418-0418
Mailing address
611 GRAND BLVD, VANCOUVER, WA 98661-4918
(360) 696-6525
(702) 737-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60099189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508237
—
NV
Enumeration date
11/15/2006
Last updated
04/15/2014
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