Individual
JENNIFER SHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MALHEUR ESD, 363 A STREET WEST, VALE, OR 97918
(541) 473-3138
(541) 922-6699
Mailing address
MALHEUR ESD, 363 A STREET WEST, VALE, OR 97918
(541) 473-3138
(541) 922-6699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12154853
OR
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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