Provider Demographics
NPI:1013666932
Name:APPLEGATE-BROWN, JESSICA F (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:F
Last Name:APPLEGATE-BROWN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 SE WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1359
Mailing Address - Country:US
Mailing Address - Phone:503-381-8407
Mailing Address - Fax:
Practice Address - Street 1:2875 SE WOODWARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1359
Practice Address - Country:US
Practice Address - Phone:503-381-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR013592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist