Individual
RACHEL COSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 389-0442
Mailing address
20186 SW KINNAMAN RD, BEAVERTON, OR 97078-1134
(503) 389-0442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015717
OR
Other
Enumeration date
10/09/2014
Last updated
12/28/2020
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