Individual
MRS. JESSICA ROSE WENZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
17727 E BURNSIDE ST, SUITE B, PORTLAND, OR 97233-4803
(503) 215-9800
Mailing address
5523 SE GLADSTONE ST, PORTLAND, OR 97206-3971
(503) 490-0579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13215
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663623
TRIWEST
CA
05
—
GSP000390
—
CA
Enumeration date
11/21/2006
Last updated
10/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us