Individual
RISA ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 916-2000
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
—
OR
Other
Enumeration date
07/06/2017
Last updated
06/14/2024
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