NPI 1154878643 · live from the CMS NPI Registry
Wesley Allen, M.S., CCC-SLP
Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1154878643, active.
NPI record
| NPI | 1154878643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2701 Nw Vaughn St, Portland, OR 97210 |
| Practice phone | 503-457-8206 |
| Enumerated | September 1, 2016 |
| Last updated | December 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL 60515136 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.