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General NPI Number Information
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NPI Number | 1811820285
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Entity Type | Organization
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Legal Business Name | PORTLAND SPELLING COLLECTIVE
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 17762 SW BALLARD LN
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City | SHERWOOD
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State | OR
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Zip | 97140-7866
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Country | US
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Telephone | 847-894-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 17762 SW BALLARD LN
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City | SHERWOOD
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State | OR
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Zip | 97140-7866
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Country | US
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Telephone | 847-894-6535
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | CAROLYN BARBOUR
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Credential | CCC-SLP
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Telephone | 619-379-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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