Individual
MRS. JACQUELYN ANN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
75 SHORE DR, SAINT HELENS, OR 97051-1125
(503) 397-2720
Mailing address
75 SHORE DR, SAINT HELENS, OR 97051-1125
(503) 397-2720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15122
OR
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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