Jorgensen, Michele

Jorgensen, Michele is an individual health care provider with primary practice located at 1310 S Union Ave Ste A100 , Tacoma WA 98405-1907. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jorgensen, Michele can be contacted via phone (253) 383-2423.

Contact Information

Primary practice address
1310 S Union Ave Ste A100 Tacoma WA 98405-1907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00002660 Washington

Profile Details

NPI number 1972677490
LBN Legal business name Jorgensen, Michele
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972677490 NPPES
Washington MEDICAID 8344954

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