Wenzl, Jessica Rose

Wenzl, Jessica Rose is an individual health care provider with primary practice located at 17727 E Burnside St Suite B, Portland OR 97233-4803. 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. Wenzl, Jessica Rose can be contacted via phone (503) 215-9800.

Contact Information

Primary practice address
17727 E Burnside St Suite B Portland OR 97233-4803
Phone: (503) 215-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13215 Oregon

Profile Details

NPI number 1255406005
LBN Legal business name Wenzl, Jessica Rose
Credentials MA CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 17th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255406005 NPPES
California Other 0663623 TRIWEST
California MEDICAID GSP000390 TRIWEST

Popular Providers