MEDICARE: MS. JESSICA ERYN ALSOP

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1730015736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA ERYN ALSOP

Provider Business Mailing Address
First Line	:	7226 FIELD STREET
Second Line	:
City	:	POWELL RIVER
State	:	BC
Zip	:	V8A1S8
Country	:	CA
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1929 KAMEHAMEHA IV RD
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2630
Country	:	US
Telephone Number	:	604-223-3774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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