Individual
MRS. NELLIE SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
55 SW 212TH AVE, BEAVERTON, OR 97006-6447
(503) 521-0158
Mailing address
55 SW 212TH AVE, BEAVERTON, OR 97006-6447
(503) 521-0158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00003288
WA
235Z00000X
Speech-Language Pathologist
Primary
32237
OR
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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