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Individual

SHAY COPPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2690 FOXHAVEN DR SE, SALEM, OR 97306-2516
(503) 851-0844
Mailing address
3993 CHERRY AVE NE, KEIZER, OR 97303-4861
(503) 926-4299

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15270
OR

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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