Organization
BEECH STREET SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA LARRO (ADMINISTRATIVE DIRECTOR)
(503) 927-3598
Entity
Organization
Contact information
Practice address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 927-3598
(971) 200-5761
Mailing address
5724 NE BEECH ST, PORTLAND, OR 97213-3257
(503) 927-3598
(971) 200-5761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
05/04/2023
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