Organization
EUGENE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA CORBIN MS.ED (OWNER)
(541) 301-8901
Entity
Organization
Contact information
Practice address
385 W 2ND AVE, EUGENE, OR 97401-9740
(541) 600-2028
Mailing address
985 TIARA ST, EUGENE, OR 97405-6309
(541) 301-8901
(541) 843-2833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316349509
NPI
OR
05
—
500717634
—
OR
Enumeration date
01/03/2019
Last updated
01/03/2019
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