Individual
MIESHA JO EBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
17912 NE 159TH ST, BRUSH PRAIRIE, WA 98606-9613
(360) 448-6400
Mailing address
3195 45TH ST, WASHOUGAL, WA 98671-6301
(360) 608-3632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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