NPI 1003365990
Aurora Wickstrom
Practice location
- Address
- 41320 NW Lodge Rd, Banks, OR 97106-7136
- Phone
- (503) 888-9013
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003365990
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Oct 2016
- Record last updated
- 3 Oct 2016
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.