Individual
JESSICA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(443) 756-0080
(971) 206-5201
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(443) 756-0080
(971) 206-5201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15096
OR
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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