Individual
MS. BRIANNE ALISA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1770 SE FLEMING AVE, GRESHAM, OR 97080-6397
(503) 261-4500
Mailing address
1770 SE FLEMING AVE, GRESHAM, OR 97080-6397
(503) 261-4500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012464
OR
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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