Elisa Renee Jadzak in Portland - Speech-language Pathologist
Elisa Renee Jadzak - NPI 1235116740
Elisa Renee Jadzak is a Speech-language Pathologist in Portland, Oregon. Elisa Renee Jadzak practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Elisa Renee Jadzak is 1235116740. The last update date is 2007-07-08.
Elisa Renee Jadzak's current location address is 11481 Sw Hall Blvd, Portland, Oregon. You can contact this provider via phone number 8002198835 and fax number 5034431402. The mailing address for Elisa Renee Jadzak is 11481 Sw Hall Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisa Renee Jadzak |
|---|---|
| Address | 11481 Sw Hall Blvd, Portland, Oregon |
| Phone Number | 8002198835 |
| Fax Number | 5034431402 |
| Sole Proprietor | X |
| Credentials | SPEECH THE |
NPI Number Detail
| NPI Number | 1235116740 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11481 Sw Hall Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972238403 |
| Phone Number | 8002198835 |
| Fax Number | 5034431402 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 12305 |
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Definition: 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. Spe |
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What is the unique 10-digit identifier code issued to Elisa Renee Jadzak by the Centers for Medicare & Medicaid Services?
The Elisa Renee Jadzak has been assigned the NPI (National Provider Identifier) 1235116740 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elisa Renee Jadzak's facilities are geographically located?
The facilities of Elisa Renee Jadzak are physically situated at the following location: 11481 Sw Hall Blvd, Portland, OR, 972238403.
What is Elisa Renee Jadzak's area of expertise and its corresponding taxonomy classification?
The Elisa Renee Jadzak's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1235116740 to Elisa Renee Jadzak?
The Elisa Renee Jadzak received its 1235116740 assignment from the Centers for Medicare & Medicaid Services on 2005-12-27.
When was the information related to Elisa Renee Jadzak most recently updated or refreshed?
The details pertaining to the Elisa Renee Jadzak, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.