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NPI Code Detail

MEDICARE: CHRISTINE MARIE STUDER

MEDICARE: CHRISTINE MARIE STUDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist17500OR

General Provider Information

NPI Number : 1134853013
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE STUDER
Provider Business Mailing Address
First Line : 1610 SE GLENWOOD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-5615
Country : US
Telephone Number : 503-383-1401
Fax Number :
Provider Business Practice Location Address
First Line : 1610 SE GLENWOOD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-5615
Country : US
Telephone Number : 503-383-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2022
Last Update Date : 07/15/2022

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Directions to “ CHRISTINE MARIE STUDER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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