Individual
LESLIE MONTORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
1197 NAUTICAL LN, COOS BAY, OR 97420-4448
(541) 217-9142
Mailing address
1197 NAUTICAL LN, COOS BAY, OR 97420-4448
(541) 217-9142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12682
OR
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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