Wellformed AI

NPI 1396055844 · live from the CMS NPI Registry

Janet Ann Afzelius, M.S., CCC-SLP

Speech-Language Pathologist, in Wilsonville, OR. National Provider Identifier 1396055844, active.

NPI record

NPI1396055844 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070
Practice phone503-570-3665
Mailing address3916 Sw Huber St, Portland, OR 97219
EnumeratedOctober 18, 2010
Last updatedOctober 18, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X10767 (OR)

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