| Lindegard Therapy Llc | |
|
2648 Sw Hamilton Ct Portland OR 97239-1216 | |
| (503) 913-0404 | |
| Not Available |
| Full Name | Lindegard Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2648 Sw Hamilton Ct, Portland, Oregon |
| Authorized Official Name and Position | David Garder (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 5039130404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindegard Therapy Llc 2648 Sw Hamilton Ct Portland OR 97239-1216 Ph: () - | Lindegard Therapy Llc 2648 Sw Hamilton Ct Portland OR 97239-1216 Ph: (503) 913-0404 |
| NPI Number | 1134590607 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 10/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134590607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18085 (Oregon) | Primary |
| 235Z00000X | Speech-language Pathologist | 12129083 (Oregon) | Secondary |
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