Individual
CECILIA A DISPENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP CCC
Contact information
Practice address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-8050
Mailing address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-8050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12576
OR
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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