Individual
HANNAH BOECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2384 NW PETTYGROVE ST, PORTLAND, OR 97210-2610
(503) 804-6700
Mailing address
2384 NW PETTYGROVE ST, PORTLAND, OR 97210-2610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015476
OR
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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