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1205020781
JENNIFER LYNN PEDDICORD
BEAVERTON, OR
NPI
1205020781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 12924)
Enumeration Date
2007-08-28
Last Update Date
2021-06-29
Business Address
Ms. JENNIFER LYNN PEDDICORD MA, CCC-SLP
4900 SW GRIFFITH DRIVE SUITE 157
BEAVERTON, OR 97005
Phone number: 503-517-8555
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Mailing Address
Ms. JENNIFER LYNN PEDDICORD MA, CCC-SLP
6530 SW 30TH AVE
PORTLAND, OR 97239-1007
Phone number: 503-595-8243
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