Individual
JANNA MICHELLE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(425) 644-6328
Mailing address
14321 SE 6TH ST APT M207, BELLEVUE, WA 98007-7057
(949) 735-4275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60391663
WA
Other
Enumeration date
11/15/2012
Last updated
05/01/2024
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