Individual
MS. JANELL ELIZABETH WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
19500 SW 90TH CT, TUALATIN, OR 97062-7505
(503) 614-1336
Mailing address
19500 SW 90TH CT, TUALATIN, OR 97062-7505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013102
OR
Other
Enumeration date
08/05/2008
Last updated
08/31/2015
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