Individual
MRS. FATIMA SACIROVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8643 NE BEECH ST, PORTLAND, OR 97220-5012
(971) 225-4079
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17662
OR
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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