NPI 1033656103 · live from the CMS NPI Registry
Julie Balderston
Speech-Language Pathologist, in Corvallis, OR. National Provider Identifier 1033656103, active.
NPI record
| NPI | 1033656103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 875 Nw Grant Ave, Corvallis, OR 97330 |
| Practice phone | 541-207-7674 |
| Mailing address | 3308 Nw Silktassel Drive, Corvallis, OR 97330 |
| Enumerated | January 26, 2017 |
| Last updated | January 26, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 11986 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.