Individual
PATRICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5620 SE LAMBERT ST, PORTLAND, OR 97206-9057
(503) 896-9664
Mailing address
5620 SE LAMBERT ST, PORTLAND, OR 97206-9057
(503) 896-9664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15148
OR
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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