Individual
AUGUST ELAINE GANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29174 NW KING ST, NORTH PLAINS, OR 97133-2074
(503) 844-1240
Mailing address
929 ROSEBUD CT, FOREST GROVE, OR 97116-0046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18175
OR
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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