Individual
VIRGINIA FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
120 ELZORA ST, MILTON FREEWATER, OR 97862-9454
(541) 938-3318
Mailing address
PO BOX 577, CONWAY, WA 98238-0577
(360) 920-2549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012876
OR
235Z00000X
Speech-Language Pathologist
LL00003806
WA
Other
Enumeration date
05/18/2007
Last updated
04/13/2018
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