Individual
JAIDYN GRABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13455 SE 97TH AVE, CLACKAMAS, OR 97015-8662
(503) 675-4000
Mailing address
1118 SE LINCOLN ST, PORTLAND, OR 97214-5353
(503) 901-4043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18295
OR
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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