Individual
BREANNE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PV01, PORTLAND, OR 97239-3011
(503) 494-5947
Mailing address
3181 SW SAM JACKSON PARK RD, PV01, PORTLAND, OR 97239-3011
(503) 494-5947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14067
OR
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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