Individual
MICHAEL PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 SW 4TH AVE, ONTARIO, OR 97914-2627
(541) 881-7330
Mailing address
840 SW 4TH AVE, ONTARIO, OR 97914-2627
(541) 881-7330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15503
OR
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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