Individual
AUDREY ROSE MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
CHILD DEVELOPMENT & REHABILITATION CENTER, 707 SW GAINES STREET, PORTLAND, OR 97239
(503) 346-0640
Mailing address
210 TAMWORTH CRK, DURHAM, NC 27707-9628
(870) 403-8533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17200
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17200
OREGON BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OR
Enumeration date
08/18/2021
Last updated
08/18/2021
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