Individual
JENNIFER TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 SW HIGHLAND AVE, REDMOND, OR 97756-3131
(541) 516-0149
Mailing address
111 NW HAWTHORNE AVE APT 4, BEND, OR 97701-2961
(515) 556-7338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15163
OR
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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