Individual
KATHLEEN ANN OZANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 NE 6TH AVE, PORTLAND, OR 97211-2835
(503) 956-0224
Mailing address
7335 NE 6TH AVE, PORTLAND, OR 97211-2835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60321400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL 60321400
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/16/2013
Last updated
04/16/2013
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