Individual
MRS. NORA KAY JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10368 SW KOSO ST, TUALATIN, OR 97062-7598
(503) 670-9990
Mailing address
PO BOX 3528, TUALATIN, OR 97062-3528
(503) 670-9990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12563
OR
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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