Individual
MRS. JENNIFER K POTEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-3152
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012520
OR
Other
Enumeration date
03/12/2007
Last updated
07/01/2024
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