Individual
DONNA VIDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
65 W 30TH AVE, EUGENE, OR 97405-3485
(541) 342-5901
Mailing address
26072 LAKE TRAIL DR, VENETA, OR 97487-9691
(541) 913-0924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16144
OR
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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