Individual
MS. PATRICIA MADALENA LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
120 SE IRVINE ST, MCMINNVILLE, OR 97128-6266
(503) 789-2759
Mailing address
120 SE IRVINE ST, MCMINNVILLE, OR 97128-6266
(503) 789-2759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12640
OR
Other
Enumeration date
05/11/2007
Last updated
07/15/2011
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