Individual
MRS. MARISSA M. SCHMIDT-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2262 BANYONWOOD AVE NW, SALEM, OR 97304-1341
(503) 508-1600
(503) 304-0856
Mailing address
PO BOX 5763, SALEM, OR 97304-0763
(503) 508-1600
(503) 304-0856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11603
OREGON LICENSE NUMBER
OR
05
—
205471
—
OR
Enumeration date
03/28/2007
Last updated
07/09/2007
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