Individual
ANN MICHELLE MAZURIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
14291 SE 172ND AVE, CLACKAMAS, OR 97015-8766
(503) 558-1124
Mailing address
14291 SE 172ND AVE, CLACKAMAS, OR 97015-8766
(503) 558-1124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11239
OR
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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