Individual
TRACI LEVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 SW ARDENWOOD ST, PORTLAND, OR 97225-4913
(503) 860-3580
Mailing address
9820 SW ARDENWOOD ST, PORTLAND, OR 97225-4913
(503) 860-3580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12702
OR
235Z00000X
Speech-Language Pathologist
Primary
LL 00004341
WA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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