Individual
DEVON CORINNE ROULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(503) 256-6500
Mailing address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(503) 256-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17922
OR
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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