Individual
GINA OSSANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2953 NE 51ST AVE, PORTLAND, OR 97213-2413
(503) 287-1178
(503) 339-1890
Mailing address
2953 NE 51ST AVE, PORTLAND, OR 97213-2413
(503) 287-1178
(503) 339-1890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12082
OR
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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