Boone Reavis
NPI #1306224480 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1306224480
- Entity Type
- Individual
- Name
- Boone Reavis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 11, 2015
- Last Updated
- May 11, 2015
Practice Location
- Address
- 25117 SW PARKWAY AVE
- Address 2
- STE D
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (971) 244-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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