Wellformed AI

NPI 1720459092 · live from the CMS NPI Registry

Lindsay Andreu, MS CCC-SLP

Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1720459092, active.

NPI record

NPI1720459092 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location17020 Sw Upper Boones Ferry Rd Ste 201, Portland, OR 97224
Practice phone503-894-1539
Mailing address8814 N Seward Ave, Portland, OR 97217
EnumeratedOctober 13, 2015
Last updatedApril 8, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Speech-Language Pathologist, primary235Z00000X016354 (OR)

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