Individual
MRS. PATRICIA DENISSE FASANA-LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
634 NW 16TH ST, MCMINNVILLE, OR 97128-2812
(503) 472-0303
Mailing address
634 NW 16TH ST, MCMINNVILLE, OR 97128-2812
(503) 472-0303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11330
OR
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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