Individual
DR. JESSICA L EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
9155 SW BARNES RD STE 536, PORTLAND, OR 97225-6785
(503) 935-8100
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23356
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500632554
—
OR
Enumeration date
11/10/2010
Last updated
11/05/2020
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