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Individual

JENNIFER LYNN STAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12033
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019622
OR
Enumeration date
03/27/2007
Last updated
05/13/2025
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