Individual
JESSICA LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
(888) 835-4257
Mailing address
1017 HERMITAGE WAY S APT 15, SALEM, OR 97302-5098
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0165
OR
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
About Stedi
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