Individual
TOBIANNE SARA DE GOEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2032 NE LIBERTY ST, PORTLAND, OR 97211-5339
(206) 356-3379
Mailing address
2032 NE LIBERTY ST, PORTLAND, OR 97211-5339
(206) 356-3379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016198
OR
235Z00000X
Speech-Language Pathologist
Primary
06918
OR
Other
Enumeration date
11/11/2020
Last updated
08/23/2022
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