IndividualActive
Jessica Lush
NPI 1194377804 · Speech-Language Assistant · Salem, OR
Provider details
- NPI number
- 1194377804
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A0165 (OR)
Practice location
1475 Capitol St Ne
Salem, OR 97301-7850
Phone: (971) 599-1712
Fax: (888) 835-4257
Mailing address
1017 Hermitage Way S Apt 15
Salem, OR 97302-5098
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.