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NPI Code Detail

MEDICARE: KATRINA YVONNE VIERS MS, CCC-SLP

MEDICARE: KATRINA YVONNE VIERS MS, CCC-SLP
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 Pathologist16913OR

General Provider Information

NPI Number : 1790538197
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA YVONNE VIERS MS, CCC-SLP
Provider Business Mailing Address
First Line : 7204 SW DURHAM ROAD
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97224-7574
Country : US
Telephone Number : 503-941-9869
Fax Number : 503-352-5555
Provider Business Practice Location Address
First Line : 7204 SW DURHAM ROAD
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97224-7574
Country : US
Telephone Number : 503-941-9869
Fax Number : 503-352-5555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “ KATRINA YVONNE VIERS MS, CCC-SLP” Practice Location

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