Individual
DAVID NT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3347
(541) 440-4777
Mailing address
4441 FOX HOLLOW RD UNIT 5, EUGENE, OR 97405-4594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12963
OR
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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