Jessica F Applegate-Brown, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Portland, OR

NPI 1013666932 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1013666932
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
013592 (OR)
Practice address
2875 SE Woodward St
Portland, OR 97202-1359
Phone
(503) 381-8407
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013592ORMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013592 OR Yes

Addresses

Primary practice location

2875 SE Woodward St
Portland, OR 97202-1359

Mailing address

2875 SE Woodward St
Portland, OR 97202-1359
Phone (503) 381-8407

Other providers in Portland, OR

All providers in Portland, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.