Individual
FAITH PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4211 N MICHIGAN AVE, PORTLAND, OR 97217-3116
(801) 574-9520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15137
OR
235Z00000X
Speech-Language Pathologist
LL 60543067
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP9147
AZ
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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