Healthcare Provider Details

I. General information

NPI: 1568875664
Provider Name (Legal Business Name): JENNIFER STECHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER OWENS

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3290
LA GRANDE OR
97850-7290
US

IV. Provider business mailing address

PO BOX 3290
LA GRANDE OR
97850-7290
US

V. Phone/Fax

Practice location:
  • Phone: 541-963-8421
  • Fax: 541-963-1476
Mailing address:
  • Phone: 541-963-8421
  • Fax: 541-963-1476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17080
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL010646
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: