Individual
MS. SUSAN DIANE ORTHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
13501 NE 28TH ST., EVERGREEN PUBLIC SCHOOLS, VANCOUVER, WA 98668
(360) 604-6700
Mailing address
35606 NW 35TH CT, LA CENTER, WA 98629-3035
(360) 263-4662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00004118
WA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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