Individual
ANKA SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7833 SE LINCOLN ST, PORTLAND, OR 97215-4157
(971) 313-1887
Mailing address
7833 SE LINCOLN ST, PORTLAND, OR 97215-4157
(971) 313-1887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13347
OR
235Z00000X
Speech-Language Pathologist
LL60178612
WA
Other
Enumeration date
07/28/2016
Last updated
01/13/2017
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