Individual
ANITA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2003 RIDGEWOOD LN, LAKE OSWEGO, OR 97034-3655
(503) 636-1381
Mailing address
2003 RIDGEWOOD LN, LAKE OSWEGO, OR 97034-3655
(503) 636-1381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15633
OR
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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