Individual
MS. LOIS ANN ERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16106 SW 108TH AVE, APT 1, TIGARD, OR 97224-4418
(210) 937-2636
Mailing address
16106 SW 108TH AVE, APT 1, TIGARD, OR 97224-4418
(210) 937-2636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15082
OR
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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