Individual
ELLA MARIE DAUW HAUWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-6667
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-6667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15712
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14053071
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
15712
OREGON BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
OR
Enumeration date
12/13/2016
Last updated
12/13/2016
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