Organization
SMART MOUTH SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GALLAGHER (OWNER)
(503) 440-0399
Entity
Organization
Contact information
Practice address
901 N BRUTSCHER ST # D113, NEWBERG, OR 97132-6096
(503) 440-0399
Mailing address
901 N BRUTSCHER ST # D113, NEWBERG, OR 97132-6096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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