Individual
EMILY JURGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 N MICHIGAN AVE, PORTLAND, OR 97217-3116
(971) 222-5619
Mailing address
4211 N MICHIGAN AVE, PORTLAND, OR 97217-3116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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