Individual
GINA MARIE CAVALLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4900 NE 122ND AVE BLDG 1, PORTLAND, OR 97230-1049
(503) 261-5535
Mailing address
10000 NE 7TH AVE STE 110, VANCOUVER, WA 98685-4545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13236
OR
Other
Enumeration date
05/17/2011
Last updated
03/09/2024
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