Individual
SARAH J ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 583-0143
Mailing address
PO BOX 233, GRAND RONDE, OR 97347-0233
(503) 583-0143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13418
OR
Other
Enumeration date
11/01/2011
Last updated
09/24/2012
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