Individual
JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1235 SE DIVISION ST, SUITE 204, PORTLAND, OR 97202-1099
(503) 740-6189
Mailing address
1235 SE DIVISION ST, SUITE 204, PORTLAND, OR 97202-1099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13623
OR
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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