Individual
JOSHUA BOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13169 SE RIVER RD, PORTLAND, OR 97222-9702
(503) 652-6685
(503) 652-6675
Mailing address
13169 SE RIVER RD, PORTLAND, OR 97222-9702
(503) 652-6685
(503) 652-6675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105281
OR
Other
Enumeration date
06/02/2010
Last updated
08/23/2011
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