Individual
MRS. JESSICA COOK KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
630 B AVE STE 6, LAKE OSWEGO, OR 97034-2960
(503) 260-9499
Mailing address
333 S STATE ST STE V231, LAKE OSWEGO, OR 97034-3932
(503) 260-9499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12219
OR
Other
Enumeration date
10/28/2012
Last updated
08/13/2021
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