Individual
ELISA RENEE JADZAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
1315 NW 4TH ST, STE B TAI CENTRAL OREGON REDMOND, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
11481 SW HALL BLVD, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12305
WA
235Z00000X
Speech-Language Pathologist
Primary
OR12305
OR
235Z00000X
Speech-Language Pathologist
SA5922
FL
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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