Individual
MIKALA SOROKA FLEEGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14475 SW BARROWS RD, BEAVERTON, OR 97007-6103
(503) 376-6850
Mailing address
3750 S RIVER PKWY APT 227, PORTLAND, OR 97239-4746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16877
OR
235Z00000X
Speech-Language Pathologist
SP-2352
NV
Other
Enumeration date
07/22/2018
Last updated
05/04/2021
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