Individual
LORI PASTOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9741 SE 49TH AVE, MILWAUKIE, OR 97222-5115
(530) 574-6035
Mailing address
9741 SE 49TH AVE, MILWAUKIE, OR 97222-5115
(530) 574-6035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12399
OR
235Z00000X
Speech-Language Pathologist
SLP-SP-LIC-3341
MT
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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