Individual
JENNA BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
OREGON VETERANS HOME, 600 N 5TH ST, OR 97355
(541) 497-7265
Mailing address
101 NE CONIFER BLVD APT R, CORVALLIS, OR 97330-7013
(503) 810-7339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14292134
OR
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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