Individual
MS. CARA LISETTE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
5232 N INTERSTATE AVE, PORTLAND, OR 97217
(503) 575-9402
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12712
OR
Other
Enumeration date
07/09/2008
Last updated
06/11/2024
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