Individual
KRISTIN SHEA NYBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7065 SW 92ND AVE, PORTLAND, OR 97223-7124
(714) 094-6589
Mailing address
7065 SW 92ND AVE, PORTLAND, OR 97223-7124
(714) 094-6589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
051827
OR
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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