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Organization

SPEECH 4 KIDDOS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH MARIE PANCOAST MS, CCC-SLP (OWNER; CLINICIAN)
(415) 583-3185
Entity
Organization

Contact information

Practice address
4029 NE TILLAMOOK ST, PORTLAND, OR 97212-5341
(503) 272-1867
Mailing address
4029 NE TILLAMOOK ST, PORTLAND, OR 97212-5341
(503) 272-1867

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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