Individual
BRIAN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
9135 SW BARNES RD, SUITE 362, PORTLAND, OR 97225-6646
(503) 216-3125
(503) 216-3140
Mailing address
9135 SW BARNES RD, SUITE 362, PORTLAND, OR 97225-6646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15425
OR
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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