Individual
ASHLEY HANNAH DERKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
Mailing address
2125 FREEDOM LOOP, HOOD RIVER, OR 97031-8667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12791
OR
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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