Doctor Name: | MR. JENS FROJEN |
NPI Number: | 1225499973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | 18750 |
Business Practice Address: | 12045 Se Stanley Ave Milwaukie, OR - 972222938 |
Business Phone Number: | 5036592323 |
Business Fax Number: | |
Mailing Address: | 1 Jefferson Pkwy, Apt. 314 LAKE OSWEGO |
State: | OR |
Postal Code: | 970358847 |
Phone Number: | 7072873867 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18750 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |