Individual
MRS. ELIZABETH KATHLEEN STARK EBENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1400 DIVISION ST, OREGON CITY, OR 97045-1525
(503) 593-8801
Mailing address
1400 DIVISION ST, OREGON CITY, OR 97045-1525
(503) 593-8801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013415
OR
Other
Enumeration date
09/07/2010
Last updated
06/19/2013
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