Organization
PORTLAND PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI LYNN DOTY CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(503) 916-6063
Entity
Organization
Contact information
Practice address
2732 NE FREMONT ST, PORTLAND, OR 97212-2542
(503) 916-6063
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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