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Individual

MONIQUE RUEDA MASCARINAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4404 NE 71ST AVE, PORTLAND, OR 97218-3548
(503) 421-6404
Mailing address
4404 NE 71ST AVE, PORTLAND, OR 97218-3548
(503) 421-6404

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12551
OR

Other

Enumeration date
02/29/2008
Last updated
02/29/2008
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