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Individual

BEN CARLSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. CF-SLP

Contact information

Practice address
3320 SE HOLGATE BLVD, PORTLAND, OR 97202
(503) 231-1411
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016632
OR

Other

Enumeration date
09/09/2019
Last updated
09/29/2019
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