Individual
JOANNA HARTMAN CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7255 SW 54TH AVE, PORTLAND, OR 97219-1344
(253) 732-0719
Mailing address
7255 SW 54TH AVE, PORTLAND, OR 97219-1344
(253) 732-0719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15012
OR
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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