Tara Darice Cenova M.S., CCC-SLP

NPI 1063791788 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1063791788
Gender Female
Enumeration Date 08/11/2011
Last Updated 08/11/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6107 SW MURRAY BLVD
#323
BEAVERTON OR, 97008-4421, US
Phone (503) 501-8566
Fax
Business Location
6107 SW MURRAY BLVD
#323
BEAVERTON OR, 97008-4421, US
Phone (503) 501-8566
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Oregon
License Number 11955
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According to our database, Mrs. Tara Darice Cenova M.S., CCC-SLP NPI is 1063791788, taxonomy code is 235Z00000X and license number is 11955, license state is located at Oregon. Tara Darice Cenova M.S., CCC-SLP physically located at 6107 Sw Murray Blvd, Beaverton OR, 97008-4421. NPI Number Tara Darice Cenova M.S., CCC-SLP has the Individual type.

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1063791788 NPI number is provided on an as is basis without warranty of any kind. 1063791788 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Darice Cenova M.S., CCC-SLP are for informational purposes only.