Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aurora Wickstrom

Individual provider Speech-Language Pathologist · NPI 1003365990

Aurora Wickstrom is a Speech-Language Pathologist in Banks, Oregon. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

41320 NW Lodge Rd
Banks, OR 97106-7136
Phone: (503) 888-9013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1003365990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016