Individual
TAELOR SYMONE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 19TH AVE, FOREST GROVE, OR 97116-1910
(503) 357-7119
Mailing address
4622 SE NEHALEM ST, PORTLAND, OR 97206-9103
(541) 979-3900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16992
OR
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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