Individual
LAURA SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(541) 604-8255
Mailing address
304 NE MULTNOMAH ST APT 309, PORTLAND, OR 97232-3609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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