Provider Demographics
NPI:1346007994
Name:TROLARD CLOUSE, MARGARET LOUISE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOUISE
Last Name:TROLARD CLOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 NE SOUTH NEBERGALL LOOP
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1579
Mailing Address - Country:US
Mailing Address - Phone:541-981-1747
Mailing Address - Fax:
Practice Address - Street 1:905 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-3104
Practice Address - Country:US
Practice Address - Phone:541-812-2600
Practice Address - Fax:541-812-2617
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA04692355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant