Individual
MS. JENNIFER LYNN PEDDICORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4900 SW GRIFFITH DRIVE, SUITE 157, BEAVERTON, OR 97005
(503) 517-8555
(503) 517-8556
Mailing address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
(503) 595-8243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12924
OR
Other
Enumeration date
08/28/2007
Last updated
06/29/2021
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