Individual
LISA M BALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 FERNWOOD DR. #1131, NEWBERG, OR 97132-9713
(503) 550-9824
Mailing address
7320 SW HUNZIKER RD STE 203, TIGARD, OR 97223-2301
(888) 317-1019
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23
SPEECH- LANGUAGE AND AUDIOLOGY
OR
Enumeration date
04/22/2019
Last updated
04/22/2019
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