Individual
THEODORE VOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
SLP
Contact information
Practice address
505 SW BIRDSDALE DR, GRESHAM, OR 97080-6747
(503) 661-6226
Mailing address
505 SW BIRDSDALE DR, GRESHAM, OR 97080-6747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015448
OR
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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