Individual
ERIN KATHLEEN BOOKOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL ROAD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
7526 NORTH ELMORE AVENUE, PORTLAND, OR 97217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12676
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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