Individual
CASEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11855 NE GLENN WIDING DR # F, PORTLAND, OR 97220-9057
(951) 236-2874
Mailing address
1918 SE CLINTON ST, PORTLAND, OR 97202-2243
(951) 236-2874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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