Individual
STACI BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13435 SE 97TH AVE, CLACKAMAS, OR 97015-8662
(503) 479-6796
Mailing address
4880 SW WICHITA ST, TUALATIN, OR 97062-6717
(503) 479-6796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011734
OR
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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