Individual
JOHN WANDSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(503) 261-5535
Mailing address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16973
OR
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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