Individual
MS. JENNIFER GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
3549 NE 65TH AVE, PORTLAND, OR 97213-4417
(503) 946-6907
Mailing address
3549 NE 65TH AVE, PORTLAND, OR 97213-4417
(503) 946-6907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16545
OR
Other
Enumeration date
07/25/2019
Last updated
12/11/2019
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