Individual
RAFAELA AGUILERA ELMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 NW 26TH AVE, PORTLAND, OR 97210-2431
(503) 916-6295
Mailing address
401 N DIXON ST, PORTLAND, OR 97227-1865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18254
OR
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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