Individual
MARISSA MADISON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8285 SW NIMBUS AVE STE 174, BEAVERTON, OR 97008-6447
(503) 579-7327
(503) 974-0946
Mailing address
8285 SW NIMBUS AVE STE 174, BEAVERTON, OR 97008-6447
(503) 579-7327
(503) 974-0946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18257
OR
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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