Individual
ALICE EBERHARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2921 SE 116TH AVE, PORTLAND, OR 97266-1715
(503) 256-6509
Mailing address
2921 SE 116TH AVE, PORTLAND, OR 97266-1715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015562
OR
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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