Individual
ELISA ORTIZ JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
Mailing address
15106 N CUSTER LN, MEAD, WA 99021-9016
(509) 467-4612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002843
WA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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