Individual
MARIAN CANSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
(503) 261-5535
Mailing address
16446 SE CREST CT, PORTLAND, OR 97236-6390
(971) 279-9760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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