Individual
JILL HUDANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9560 SW NIMBUS AVE, BEAVERTON, OR 97008-7184
(503) 614-1278
(503) 614-1721
Mailing address
9560 SW NIMBUS AVE, BEAVERTON, OR 97008-7184
(503) 614-1278
(503) 614-1721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011689
OR
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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