NPI 1194377804

Jessica Lush

Practitioner Speech-Language Assistant Salem, OR

Practice location

Address: 1475 Capitol St NE, Salem, OR 97301-7850
Phone: (971) 599-1712
Fax: (888) 835-4257
Mailing address: 1017 Hermitage Way S APT 15, Salem, OR 97302-5098

Registered specialties

Speech-Language Assistant Primary

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence A0165 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1194377804
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2019
Record last updated: 12 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.