Individual
JESSICA ELIZABETH VANASEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
5905 SE POWELL VALLEY RD, GRESHAM, OR 97080-1919
(503) 665-1151
Mailing address
211 SE 105TH AVE, APT Q108, PORTLAND, OR 97216-2786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13359
OR
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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