IndividualActive
Katherine Mabou
NPI 1962271817 · Speech-Language Pathologist · Fairview, OR
Provider details
- NPI number
- 1962271817
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6524 (LA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
1204 Ne 201st Ave
Fairview, OR 97024-2499
Phone: (503) 661-7200
Approximate (ZIP-level) locationGet directions
Mailing address
1204 Ne 201st Ave
Fairview, OR 97024-2499
Registry dates
- Enumerated
- 2023-12-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.