Individual
PATRICIA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC/SLP
Contact information
Practice address
6432 SE 17TH AVE, PORTLAND, OR 97202-5522
(503) 260-6479
Mailing address
6432 SE 17TH AVE, PORTLAND, OR 97202-5522
(503) 260-6479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11159
OR
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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