NPI 1558592774

Suzuki Speech Therapy LLC

Organisation Preferred Provider Organization Wilsonville, OR

Practice location

Address: 9450 SW Commerce Cir Suite 305, Wilsonville, OR 97070-8855
Phone: (503) 756-1708
Fax: (503) 715-0573

Authorised official

Name: Misako Suzuki
Title: Speech-Language Pathologist
Phone: (503) 756-1708

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 13193 (OR)

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Registry record

NPI: 1558592774
Entity type: Organization
NPI issued: 5 Aug 2009
Record last updated: 22 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.