Individual
MARISSA SEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CF SLP
Contact information
Practice address
700 SW CAMPUS DR, PORTLAND, OR 97239-3107
(503) 551-4802
Mailing address
813 PIONEER DR, SILVERTON, OR 97381-8725
(503) 551-4802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16855
OR
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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