Mcmillion, Audrey Rose

Mcmillion, Audrey Rose is an individual health care provider with primary practice located at Child Development & Rehabilitation Center 707 Sw Gaines Street, Portland OR 97239. 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. Mcmillion, Audrey Rose can be contacted via phone (503) 346-0640.

Contact Information

Primary practice address
Child Development & Rehabilitation Center 707 Sw Gaines Street Portland OR 97239
Phone: (503) 346-0640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 17200 Oregon

Profile Details

NPI number 1861168148
LBN Legal business name Mcmillion, Audrey Rose
Credentials CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861168148 NPPES
Oregon Other 17200 OREGON BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY

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