Individual
ELLEN LYNCH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8625 SW CASCADE AVE STE 320, BEAVERTON, OR 97008-7126
(877) 755-8940
Mailing address
1920 SE 43RD AVE, PORTLAND, OR 97215-3119
(503) 516-7669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015790
OR
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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