Individual
RACHELI ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10822 SE BUSH ST, PORTLAND, OR 97266-2321
(503) 256-6554
Mailing address
10822 SE BUSH ST, PORTLAND, OR 97266-2321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12087747
OR
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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