Individual
MICHELE HAIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
17460 SE SUNNYSIDE RD, DAMASCUS, OR 97089-9277
(503) 482-5871
Mailing address
17460 SE SUNNYSIDE RD, DAMASCUS, OR 97089-9277
(503) 482-5871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11139
OR
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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