Individual
JESSICA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 SE CARUTHERS ST APT 6, PORTLAND, OR 97214-5571
(503) 887-3291
Mailing address
2301 SE CARUTHERS ST APT 6, PORTLAND, OR 97214-5571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15239
OR
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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