Individual
SUZANNE LYNN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5947
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5947
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
16899
OR
Other
Enumeration date
10/16/2020
Last updated
11/27/2023
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