Individual
MS. LISA MARIE DI GIANNANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC- SLP
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(503) 318-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
60487840
WA
235Z00000X
Speech-Language Pathologist
Primary
60582025
OR
Other
Enumeration date
02/13/2015
Last updated
12/17/2021
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