Individual
REBECCA DEANNA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13069
OR
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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