Organization
HAPPY ACORN LEARNING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA WILLIAMS CORNELIUS (MEMBER/OWNER)
(503) 577-0975
Entity
Organization
Contact information
Practice address
2223 NE 47TH AVE, PORTLAND, OR 97213-1911
(503) 577-0975
Mailing address
1904 SE 48TH AVE, PORTLAND, OR 97215-3220
(503) 577-0975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12566
OR
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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