Individual
KATHRYN JORDAN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC-SP
Contact information
Practice address
10300 SW GREENBURG RD, SUITE 410, PORTLAND, OR 97223-5410
(503) 517-8555
Mailing address
3273 NE DUNCKLEY ST, PORTLAND, OR 97212-1737
(503) 421-1803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10352
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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