Individual
ANNELISE BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
7900 SE DUKE ST, PORTLAND, OR 97206-6337
(503) 916-6373
Mailing address
7900 SE DUKE ST, PORTLAND, OR 97206-6337
(503) 916-6373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14084874
OR
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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