Individual
SOPHIA IRENE FARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 296-7202
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15193
OR
235Z00000X
Speech-Language Pathologist
LL 60427731
WA
Other
Enumeration date
01/06/2014
Last updated
04/21/2016
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