Individual
KIMBERLY VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
3860 NE VIEW PL, GRESHAM, OR 97030-2123
(971) 998-3824
Mailing address
3860 NE VIEW PL, GRESHAM, OR 97030-2123
(971) 998-3824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13594
OR
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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