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NPI Code Detail

MEDICARE: GREG UNWIN MS, CCC-SLP

MEDICARE:   GREG  UNWIN  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 Pathologist012814OR

General Provider Information

NPI Number : 1881437481
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREG UNWIN MS, CCC-SLP
Provider Business Mailing Address
First Line : 4013 NE 18TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1353
Country : US
Telephone Number : 503-916-6181
Fax Number :
Provider Business Practice Location Address
First Line : 4013 NE 18TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1353
Country : US
Telephone Number : 503-916-6181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 06/13/2024

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Directions to “ GREG UNWIN MS, CCC-SLP” Practice Location

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