Most Relevant Information
Provider Data
| NPI Number: | 1003260365 |
| Provider Name: | KRISTEN COTTER SLPA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | AO494 |
Most Important Dates
| Enumeration Date: | 04/22/2016 |
| Last Updated: | 04/22/2016 |
Provider Practice Location
37770 UPPER CAMP CREEK RD
SPRINGFIELD
OR
974788753
Practice Location Phone/Fax
| Phone: | 5413450805 |
| Fax: |
Provider Mailing Location
37770 UPPER CAMP CREEK RD
SPRINGFIELD
OR
974788753
Provider Mailing Phone/Fax
| Phone: | 5413450805 |
| Fax: |