Organization Name: | OREGON SCOTTISH RITE CLINICS |
NPI Number: | 1154462737 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN HAAG (ASSOC. DIRECTOR) |
Mailing Address: | 5125 Sw Macadam Ave 200 Portland |
State: | OR US |
Postal Code: | 972393809 |
Phone Number: | 5032261048 |
Fax Number: | 5032261049 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | NON-PROFIT |
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 |