Individual
MEGAN M PORTMAN-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 JUNIPER ST, OROVILLE, WA 98844-9373
(509) 476-3612
Mailing address
816 JUNIPER ST, OROVILLE, WA 98844
(509) 476-3612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0448275
MO
235Z00000X
Speech-Language Pathologist
Primary
462346H
WA
Other
Enumeration date
08/25/2009
Last updated
01/12/2016
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