Individual
KIMBERLY MARIE WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1180
(503) 926-4299
Mailing address
5067 ELIZABETH ST N, KEIZER, OR 97303-5386
(503) 602-8724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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