Individual
ROSEMARY AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S. 12TH STREET, PHILOMATH, OR 97370-1492
(541) 929-4568
(541) 929-4513
Mailing address
PO BOX 1492, PHILOMATH, OR 97370-1492
(541) 929-4568
(541) 929-4513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10192
OR
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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