Individual
SHARON H DE LAVEAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 926-4299
Mailing address
3412 WILDWOOD CT NW, SALEM, OR 97304-2231
(503) 409-4120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17129
OR
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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