Individual
ANDREW JENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
17201 15TH AVE NE, SHORELINE, WA 98155-5129
(206) 364-9336
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.60547212
WA
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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