Individual
MRS. CARRIE BELISLE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
31 NE 58TH AVE, PORTLAND, OR 97213-3801
(971) 645-7794
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-0655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12259
OR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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