Individual
AMELIA R CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MS, CCC-SLP
Contact information
Practice address
2860 SE HOLGATE BLVD, PORTLAND, OR 97202-3658
(503) 235-6551
Mailing address
2860 SE HOLGATE BLVD, PORTLAND, OR 97202-3658
(503) 235-6551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013001
OR
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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