Individual
MARISSA GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5916 N CONCORD AVE, PORTLAND, OR 97217-4605
(360) 759-6461
Mailing address
5916 N CONCORD AVE, PORTLAND, OR 97217-4605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60403892
WA
Other
Enumeration date
02/27/2014
Last updated
09/30/2015
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