Organization
CREEKSIDE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ADAMS SLP (OWNER)
(719) 494-6374
Entity
Organization
Contact information
Practice address
27196 SW BAKER RD, SHERWOOD, OR 97140-8408
(719) 494-6374
(866) 219-8556
Mailing address
27196 SW BAKER RD, SHERWOOD, OR 97140-8408
(719) 494-6374
(866) 219-8556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14082
OR
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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