Individual
MRS. ANGELA FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 927-3598
Mailing address
4500 NW 9TH CIR, CAMAS, WA 98607-7918
(360) 771-6919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18097
OR
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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