Individual
JORDAN LANE PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 NE MADRONA DR, MYRTLE CREEK, OR 97457-9621
(541) 817-6572
Mailing address
654 NE MADRONA DR, MYRTLE CREEK, OR 97457-9621
(541) 817-6572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015339
OR
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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