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Individual

RACHEL MALMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1616 SE 23RD AVE, PORTLAND, OR 97214-3952
(510) 910-7376
Mailing address
1616 SE 23RD AVE, PORTLAND, OR 97214-3952

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13445
OR
235Z00000X
Speech-Language Pathologist
LL60325328
WA

Other

Enumeration date
03/20/2013
Last updated
03/20/2013
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