Individual
ALICIA VERONICA ALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
310 VILLA RD STE 101, NEWBERG, OR 97132
(503) 537-3546
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016052
OR
235Z00000X
Speech-Language Pathologist
9529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500713220
—
OR
Enumeration date
06/18/2017
Last updated
10/02/2020
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