Individual
AMANDA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
6518 SE DIVISION ST, #100, PORTLAND, OR 97206-1243
(503) 488-9408
Mailing address
6518 SE DIVISION ST, #100, PORTLAND, OR 97206-1243
(503) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015837
OR
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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