Individual
ALLISON VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Mailing address
1032 SW GAINES ST, PORTLAND, OR 97239-7405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16334
OR
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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