Individual
JENNIFER PLOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1000
Mailing address
926 SE MILLER ST, PORTLAND, OR 97202-6344
(503) 929-2364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60953412
WA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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