Individual
MR. GLENN DOUGLAS WEYBRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
2525 NW LOVEJOY ST, 405, PORTLAND, OR 97210-2859
(503) 419-4930
(503) 227-0676
Mailing address
7810 SW CALAVERAS CT, BEAVERTON, OR 97007-5932
(503) 641-1976
(503) 227-0676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10229
OR
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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