Individual
MRS. JESSICA BANASHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
7125 FAUNTLEROY WAY SW, SEATTLE, WA 98136-2008
(206) 937-2800
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60016404
WA
Other
Enumeration date
06/06/2008
Last updated
03/17/2011
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