Individual
MR. EARL LOVEJOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. CCC/SLP
Contact information
Practice address
5601 SE 122ND AVE, PORTLAND, OR 97236-4601
(503) 761-3181
Mailing address
3510 SE 181ST AVE, VANCOUVER, WA 98683-8272
(360) 896-4997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10850
OR
235Z00000X
Speech-Language Pathologist
LL00003546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018486
—
OR
Enumeration date
08/08/2007
Last updated
08/08/2007
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