Individual
JACOB J. SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
25117 SW PARKWAY AVE, STE. D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155
Mailing address
3948 NE 7TH AVE, PORTLAND, OR 97212-1133
(503) 961-3921
(866) 573-0984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13252
OR
Other
Enumeration date
07/22/2009
Last updated
01/24/2012
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