Individual
CHERYL JENNIFFER MAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
6565 SW 90TH AVE, PORTLAND, OR 97223-7199
(503) 946-8067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12112
OR
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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