Individual
ANDREW WAINWRIGHT DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
6044 ORCHID LN, SPRINGFIELD, OR 97478-8579
(541) 275-0222
(541) 359-4339
Mailing address
PO BOX 23310, EUGENE, OR 97402-0427
(541) 485-8521
(541) 485-6159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14084
OR
Other
Enumeration date
03/24/2014
Last updated
12/01/2020
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