Individual
MS. KATHLEEN ELAINE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1218 SW 14TH CT, GRESHAM, OR 97080-9620
(503) 492-9337
Mailing address
1218 SW 14TH CT, GRESHAM, OR 97080-9620
(503) 492-9337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11160
OR
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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