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NPI Code Detail

MEDICARE: DENNISE JOSEPHSON PROSSER

MEDICARE: DENNISE JOSEPHSON PROSSER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist15258OR

General Provider Information

NPI Number : 1194145524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNISE JOSEPHSON PROSSER
Provider Business Mailing Address
First Line : 2783 RIDGEWAY DR SE
Second Line :
City : TURNER
State : OR
Zip : 97392-9370
Country : US
Telephone Number : 541-913-4740
Fax Number : 503-581-8906
Provider Business Practice Location Address
First Line : 2783 RIDGEWAY DR SE
Second Line :
City : TURNER
State : OR
Zip : 97392-9370
Country : US
Telephone Number : 541-913-4740
Fax Number : 503-581-8906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2014
Last Update Date : 04/24/2014

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Directions to “ DENNISE JOSEPHSON PROSSER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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