Fetheya Alattar

Individual provider Active NPI Speech-Language Pathologist · Tualatin, OR

NPI 1992526982 · NPPES record last updated Oct 22, 2024

Key facts

NPI
1992526982
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
18010 (OR)
Practice address
19500 SW 90TH CT
Tualatin, OR 97062-7505
Phone
(971) 378-7702
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18010ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18010 OR Yes

Addresses

Primary practice location

19500 SW 90TH CT
Tualatin, OR 97062-7505

Mailing address

19500 SW 90TH CT
Tualatin, OR 97062-7505

Other providers in Tualatin, OR

All providers in Tualatin, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.