Individual
GAYLA ANN IWATA-REUYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24900 SE STARK ST STE 106, GRESHAM, OR 97030-3381
(503) 674-1123
(503) 674-1197
Mailing address
24900 SE STARK ST STE 106, GRESHAM, OR 97030-3381
(503) 674-1123
(503) 674-1197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011723
OR
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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