Individual
HATTIE GRACE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(541) 760-8820
Mailing address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016544
OR
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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