Individual
REBECCA SARAH ROSE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 NE 7TH AVE STE B222, VANCOUVER, WA 98685-4529
(503) 806-1943
Mailing address
5109 NE 75TH CIR, VANCOUVER, WA 98661-1358
(503) 806-1943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Enumeration date
10/24/2013
Last updated
03/28/2025
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