Individual
DANIELA DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3678 SE KNAPP ST, PORTLAND, OR 97202-8349
(503) 443-1019
Mailing address
3678 SE KNAPP ST, PORTLAND, OR 97202-8349
(503) 443-1019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012932
OR
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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