Jennifer Lynn Stager, MA CCC-SLP | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(800) 813-2000 | |
Not Available |
Full Name | Jennifer Lynn Stager |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154449858 | NPI | - | NPPES |
019622 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12033 (Oregon) | Primary |
Provider Name | Providence Health & Services Oregon |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Jennifer Lynn Stager, MA CCC-SLP Po Box 3158, Portland, OR 97208-3158 Ph: () - | Jennifer Lynn Stager, MA CCC-SLP 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (800) 813-2000 |
Ms. Korynn Underwood, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-675-4000 | |
Mrs. Avital Frumin Rosenfeld, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-662-8148 | |
Sarah Glasgow, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 971-915-4989 | |
Ms. Deborah Kallen, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Kaiser Sunnyside Medical Center, 10180 S.e. Sunnyside Road, Clackamas, OR 97015 Phone: 503-571-3820 | |
Haleakala Myers, M.A., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-675-4000 | |
Jessica Sanchez Jacobson, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Lauryn Velasquez, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 255b, Clackamas, OR 97015 Phone: 503-974-6774 |