NPI 1366917411 · live from the CMS NPI Registry
Emily Mae Anderson
Speech-Language Pathologist, in Clackamas, OR. National Provider Identifier 1366917411, active.
NPI record
| NPI | 1366917411 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 10180 Se Sunnyside Rd, Clackamas, OR 97015 |
| Practice phone | 503-571-8004 |
| Enumerated | October 4, 2018 |
| Last updated | October 4, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 015926 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.