Individual
NICOLE K HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 6TH AVE SW, ATTN: REHAB DEPT (SPEECH THERAPY), ALBANY, OR 97321-1917
(503) 701-9115
Mailing address
4727 NE 109TH AVE., PORTLAND, OR 97220-2534
(503) 701-9115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13565
OR
Other
Enumeration date
10/26/2011
Last updated
11/28/2011
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