Individual
MAKENZIE RAE LAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
2085 INLAND DR STE A, NORTH BEND, OR 97459-1203
(541) 267-5221
(541) 267-5222
Mailing address
2085 INLAND DR STE A, NORTH BEND, OR 97459-1203
(541) 267-5221
(541) 267-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16016
OR
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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