Individual
SARAH E BURGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
366 N HOLLY ST, CANBY, OR 97013-3739
(503) 266-1030
(971) 244-9044
Mailing address
PO BOX 946, CANBY, OR 97013-0946
(503) 266-1030
(971) 244-9044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013412
OR
Other
Enumeration date
02/01/2007
Last updated
02/13/2020
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