Individual
MS. IRIS MAASE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
785 ALAMEDA AVE, ASTORIA, OR 97103-5947
(503) 333-3376
Mailing address
235 LEXINGTON AVE, ASTORIA, OR 97103-5013
(503) 791-2681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015098
OR
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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