Individual
MRS. ALICIA M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700B NW 11 STREET, OREGON SCOTTISH RITE CLINIC, BEND, OR 97701
(541) 389-8201
(541) 389-8201
Mailing address
1325 NE DEMPSEY DRIVE, BEND, OR 97701
(541) 350-2568
(541) 617-9448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12319
OR
Other
Enumeration date
04/25/2007
Last updated
02/27/2008
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