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Individual

PATRICIA H HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC

Contact information

Practice address
4029 NE TILLAMOOK ST, PORTLAND, OR 97212-5341
(503) 249-0455
Mailing address
6160 SE EASTBROOK DR, MILWAUKIE, OR 97222-3239

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10476
OR

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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