AURORA WICKSTROM

Speech-Language Pathologist

Active Individual
NPI: 1003365990

Practice Address

41320 NW LODGE RD
Banks, OR 97106

Phone: (503) 888-9013

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes -

Frequently Asked Questions

NPI 1003365990 is the National Provider Identifier for AURORA WICKSTROM, a Speech-Language Pathologist provider located in Banks, OR. This NPI was enumerated on October 3, 2016.
AURORA WICKSTROM practices at 41320 NW LODGE RD, Banks, OR 97106.

Quick Facts

NPI
1003365990
Type
Individual
Enumerated
Oct 3, 2016
Last Updated
Oct 3, 2016

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