Individual
MR. GREGORY NELSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
170 BOICE ST S, SALEM, OR 97302-4405
(503) 421-7735
Mailing address
170 BOICE ST S, SALEM, OR 97302-4405
(503) 421-7735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13092
OR
Other
Enumeration date
03/17/2013
Last updated
03/17/2013
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