Individual
LAURA REBECCA OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3505 SE 182ND AVE, GRESHAM, OR 97030-5028
(503) 762-6180
Mailing address
3505 SE 182ND AVE, GRESHAM, OR 97030-5028
(503) 762-6180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17194
OR
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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