Individual
JOHN PHILLIP PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS-SLP
Contact information
Practice address
572 N 11TH ST, AUMSVILLE, OR 97325-9578
(503) 749-8040
Mailing address
15532 SW PACIFIC HWY # 133, TIGARD, OR 97224-3598
(503) 816-3508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15250
OR
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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