Individual
GLEN HAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
2408 SW HALSEY ST BLDG J, TROUTDALE, OR 97060-1020
(503) 358-3679
Mailing address
1938 SW 8TH DR, GRESHAM, OR 97080-6510
(503) 358-3679
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0515
OR
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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