Individual
MRS. MARISSA ROBIN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9300 NW 21ST AVE, VANCOUVER, WA 98665-6619
(360) 313-2250
Mailing address
17210 SE WOODWARD CT, PORTLAND, OR 97236-1591
(703) 625-5382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
516385B
OR
235Z00000X
Speech-Language Pathologist
60540089
WA
235Z00000X
Speech-Language Pathologist
Primary
SP 19834
CA
Other
Enumeration date
06/12/2012
Last updated
12/30/2015
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