Individual
CELENE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER ST STE 203, TIGARD, OR 97223-2301
(503) 443-1019
Mailing address
7320 SW HUNZIKER ST STE 203, TIGARD, OR 97223-2301
(503) 443-1019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13023
OR
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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