Individual
AMY NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2811
Mailing address
4908 N PRINCETON ST, PORTLAND, OR 97203-4463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15197
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
OR
Enumeration date
07/16/2013
Last updated
12/17/2021
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