Individual
LISA EYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9560 SW NIMBUS AVE, BEAVERTON, OR 97008-7184
(503) 614-1720
Mailing address
8500 SW CANYON DR APT 8, PORTLAND, OR 97225-3450
(307) 371-7766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015484
OR
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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