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MRS. JESSICA ROSE WENZL MA CCCSLP NPI 1255406005


NPI Information

NPI: 1255406005
Provider Name: MRS. JESSICA ROSE WENZL, MA CCCSLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
17727 E BURNSIDE ST
SUITE B
PORTLAND, OR
ZIP 97233
Phone: (503) 215-9800
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MRS. Jessica Rose Wenzl, MA CCCSLP is a speech language pathologist in Portland, OR. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Jessica Rose Wenzl, MA CCCSLP NPI is 1255406005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17727 E BURNSIDE ST
SUITE B
PORTLAND, OR
ZIP 97233-803
Phone: (503) 215-9800

The enumeration date for this NPI number is 11/21/2006 and was last updated on 10/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist13215OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056582MEDICARE ID-TYPE UNSPECIFIED
20663623OTHERCALIFORNIATRIWEST
3GSP000390MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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