Individual
CRAIG SCOTT DERMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-CLP
Contact information
Practice address
5232 N INTERSTATE, PORTLAND, OR 97217
(503) 737-0144
Mailing address
1840 N WATTS ST, PORTLAND, OR 97217-6616
(503) 737-0144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12760
OR
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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