Individual
JENNIFER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
(505) 660-6999
Mailing address
14654 SE MILL CT, PORTLAND, OR 97233-2674
(505) 660-6999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14308792
OR
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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