Individual
JESSICA MARIE BANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 SW BEAVERTON HILLSDALE HWY STE 210, BEAVERTON, OR 97005-3300
(503) 352-0240
Mailing address
9400 SW BEAVERTON HILLSDALE HWY STE 210, BEAVERTON, OR 97005-3300
(503) 352-0240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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