Individual
NICHOLE C. MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6125 SW BOUNDARY, PORTLAND, OR 97221
(503) 535-4300
(503) 535-4334
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013593
OR
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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