Individual
MRS. SARAH RAE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
3232 SE 71ST AVE, PORTLAND, OR 97206-1808
(503) 880-2750
Mailing address
3232 SE 71ST AVE, PORTLAND, OR 97206-1808
(503) 880-2750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13479
OR
235Z00000X
Speech-Language Pathologist
Primary
LL 60214299
WA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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