Provider Demographics
NPI:1801872478
Name:MURPHY, JANET A (SPEEH THERAPIST)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:SPEEH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 HAWLEY ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-5641
Mailing Address - Country:US
Mailing Address - Phone:503-708-7389
Mailing Address - Fax:
Practice Address - Street 1:375 HAWLEY ST
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-5641
Practice Address - Country:US
Practice Address - Phone:503-708-7389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR31693000OtherBLUE CROSS BLUE SHIELD
OR269838Medicaid