Individual
SUNAN R WATERS SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E VIRGINIA ST, STAYTON, OR 97383-1751
(503) 769-3384
Mailing address
104 E VIRGINIA ST, STAYTON, OR 97383-1751
(503) 769-3384
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
261066
OR
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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