| Organization Name: | PARKWOOD CLINIC LLC |
| NPI Number: | 1124469325 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ASHLEY REBECCA ROSE (OWNER/DIRECTOR) |
| Mailing Address: | 833 Sw 11th Ave Ste 620 Portland |
| State: | OR US |
| Postal Code: | 972052125 |
| Phone Number: | 5028941539 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 015000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |