Individual
JENNIFER L BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 773-8255
(541) 773-8256
Mailing address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 773-8255
(541) 773-8256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036546
OMAP
OR
01
—
840625001
BLUE CROSS BLUE SHIELD
OR
01
—
H2669-01
PACIFIC SOURCE
OR
Enumeration date
11/01/2006
Last updated
05/29/2009
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