Individual
TARA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14240 SE 132ND AVENUE, CLACKAMAS, OR 97015
(503) 604-6925
Mailing address
13501 NE 28TH STREET, EVERGREEN PUBLIC SCHOOLS, VANCOUVER, WA 98663
(360) 604-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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