Individual
STEPHANIE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10531 SW CAPITOL HWY, PORTLAND, OR 97219-6812
(503) 916-5681
Mailing address
1250 NW KEARNEY ST APT 815, PORTLAND, OR 97209-4081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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