Healthcare Provider Details

I. General information

NPI: 1801436720
Provider Name (Legal Business Name): JORDAN LEIGH ENE-STROESCU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JORDAN LEIGH SONNEBORN

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W 5TH AVE
SPOKANE WA
99204-2901
US

IV. Provider business mailing address

911 W 5TH AVE
SPOKANE WA
99204-2901
US

V. Phone/Fax

Practice location:
  • Phone: 509-590-6204
  • Fax:
Mailing address:
  • Phone: 844-220-9885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number61432643
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: