Individual
MS. GUDRUN STOFFELMAYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 N AINSWORTH ST, PORTLAND, OR 97217-4701
(504) 261-6773
Mailing address
1213 N AINSWORTH ST, PORTLAND, OR 97217-4701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12962
OR
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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