Organization
CREATING PATHWAYS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANIE JOHNSON (OWNER)
(503) 926-4299
Entity
Organization
Contact information
Practice address
748 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 926-4299
Mailing address
748 HAWTHORNE AVE, SALEM, OR 97392
(503) 926-4299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015230
OR
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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