Individual
JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 PACIFIC AVE, FOREST GROVE, OR 97116-2226
(503) 359-0449
Mailing address
12425 NW BARNES RD APT 11, PORTLAND, OR 97229-6089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15139
OR
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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