Individual
KATHERINE CLARE SACRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14300 NE 18TH ST, VANCOUVER, WA 98684-7807
(360) 604-3739
Mailing address
2361 SE 51ST AVE, PORTLAND, OR 97215-3905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15192
OR
235Z00000X
Speech-Language Pathologist
Primary
LL 60600458
WA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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