Individual
EMILY MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED CCC SLP
Contact information
Practice address
763 ST CHARLES PLACE RD, HOOD RIVER, OR 97031-8766
(716) 868-1023
Mailing address
763 ST CHARLES PLACE RD, HOOD RIVER, OR 97031-8766
(716) 868-1023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13414
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13414
STATE LICENSE
OR
Enumeration date
05/08/2014
Last updated
02/05/2016
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