Individual
MRS. ELLEN KIELY BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5027 SE HARRISON ST, PORTLAND, OR 97215-3247
(303) 859-2723
Mailing address
5027 SE HARRISON ST, PORTLAND, OR 97215-3247
(303) 859-2723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14024521
OR
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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