Gendreau, Miranda Danielle

Gendreau, Miranda Danielle is an individual health care provider with primary practice located at 4560 Se International Way Ste 100 , Milwaukie OR 97222-4628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gendreau, Miranda Danielle can be contacted via phone (479) 518-0721.

Contact Information

Primary practice address
4560 Se International Way Ste 100 Milwaukie OR 97222-4628
Phone: (479) 518-0721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 60990987 Washington

Profile Details

NPI number 1619503661
LBN Legal business name Gendreau, Miranda Danielle
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Mar 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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