Wellformed AI

NPI 1154891117 · live from the CMS NPI Registry

Dorota Bozena Barton, CCC-SLP

Speech-Language Pathologist, in Vancouver, WA. National Provider Identifier 1154891117, active.

NPI record

NPI1154891117 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686
Practice phone360-487-1785
Mailing addressPo Box 2077, Portland, OR 97208
EnumeratedDecember 3, 2018
Last updatedFebruary 18, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000X23145 (CA)
Speech-Language Pathologist, primary235Z00000XLL60919522 (WA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.