Individual
LEISHA VOGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
(888) 835-4257
Mailing address
PO BOX 12381, SALEM, OR 97309-0381
(971) 599-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13361
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684879
—
OR
Enumeration date
08/07/2012
Last updated
12/20/2017
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