Healthcare Provider Details

I. General information

NPI: 1134683733
Provider Name (Legal Business Name): JOANNA BIHLER CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2019
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 SE POWELL VALLEY RD
GRESHAM OR
97080-1919
US

IV. Provider business mailing address

3809 SE 154TH AVE
PORTLAND OR
97236-2244
US

V. Phone/Fax

Practice location:
  • Phone: 503-665-1151
  • Fax:
Mailing address:
  • Phone: 503-593-1391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number16132
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: