Most Relevant Information
Provider Data
| NPI Number: | 1003658733 |
| Provider Name: | JERAE BJELLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 014080 |
Most Important Dates
| Enumeration Date: | 06/12/2024 |
| Last Updated: | 06/12/2024 |
Provider Practice Location
501 N DIXON ST
PORTLAND
OR
972271876
Practice Location Phone/Fax
| Phone: | 5039162000 |
| Fax: |
Provider Mailing Location
501 N DIXON ST
PORTLAND
OR
972271876
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |