Individual
BHAVANI GANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14664 NW RICH CT, PORTLAND, OR 97229-1593
(971) 533-2178
Mailing address
14664 NW RICH CT, PORTLAND, OR 97229-1593
(971) 533-2178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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