Individual
HERRON JORDANNA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
385 WEST 2ND AVE., EUGENE, OR 97401
(541) 600-2028
Mailing address
785 NORMAN AVE NE, SALEM, OR 97301-4643
(714) 906-4406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016302
OR
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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