Individual
JOHN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
1107 NE 86TH WAY, HILLSBORO, OR 97006-6684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17486
OR
Other
Enumeration date
03/25/2024
Last updated
05/14/2024
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