Individual
SARAH BUSTAMANTE GAZURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 NE HALSEY ST, PORTLAND, OR 97220-2026
(503) 252-2900
Mailing address
10449 SE ELLIS ST, PORTLAND, OR 97266-4117
(971) 282-5729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12158432
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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