Individual
HEATHER R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14585 SW 87TH AVE, TIGARD, OR 97224-5803
(503) 505-4516
Mailing address
14585 SW 87TH AVE, TIGARD, OR 97224-5803
(503) 505-4516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013105
OR
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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