Individual
MAGDALENA GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1000
Mailing address
6015 S VIRGINIA AVE APT 101, PORTLAND, OR 97239-3665
(978) 886-6409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.70044330
WA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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