Individual
EVELYN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-MS, SLP
Contact information
Practice address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
(888) 835-4257
Mailing address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016110
OR
Other
Enumeration date
07/07/2021
Last updated
02/10/2022
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