Individual
ALEXANDRA BRUCCULERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(917) 767-4577
Mailing address
1714 N FARRAGUT ST, PORTLAND, OR 97217-6518
(917) 767-4577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
16943
OR
235Z00000X
Speech-Language Pathologist
Primary
SI61099839
WA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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