Individual
MRS. LARISSA ANN SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9106
(503) 215-9149
Mailing address
15734 SE HAWK CT, PORTLAND, OR 97236-7879
(503) 215-9106
(503) 215-9149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11610
OR
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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