Individual
MS. SIMONE BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
20256 GRIM RD NE, AURORA, OR 97002-9499
(503) 678-7100
(503) 386-4659
Mailing address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
(503) 588-5330
(503) 540-4493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13281
OR
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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