Individual
KACIA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW U.S. VETERANS HOSPITAL RD., PORTLAND, OR 97239
(503) 220-8262
Mailing address
3710 SW U.S. VETERANS HOSPITAL RD., PORTLAND, OR 97239
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015422
OR
235Z00000X
Speech-Language Pathologist
LL60609939
WA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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