Wickstrom, Aurora

Wickstrom, Aurora is an sole proprietor health care provider with primary practice located at 41320 Nw Lodge Rd , Banks OR 97106-7136. 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. Wickstrom, Aurora can be contacted via phone (503) 888-9013.

Contact Information

Primary practice address
41320 Nw Lodge Rd Banks OR 97106-7136
Phone: (503) 888-9013
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1003365990
LBN Legal business name Wickstrom, Aurora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2016
Last updated Oct 3rd, 2016 - about 10 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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