Individual
STEPHANIE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(000) 000-0000
Mailing address
4766 SE WASHINGTON PL, MILWAUKIE, OR 97222-5364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
12/17/2021
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