Individual
SUSAN ASHBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7311 N LANCASTER AVE, PORTLAND, OR 97217-5637
(971) 269-4769
Mailing address
7311 N LANCASTER AVE, PORTLAND, OR 97217-5637
(971) 269-4769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60115727
WA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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