Provider Demographics
NPI:1306992185
Name:WEBB-MURPHY, JANE L (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:L
Last Name:WEBB-MURPHY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:W
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1722 NW RALEIGH ST
Mailing Address - Street 2:SUITE 318
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1753
Mailing Address - Country:US
Mailing Address - Phone:503-224-2820
Mailing Address - Fax:503-224-2609
Practice Address - Street 1:1722 NW RALEIGH ST
Practice Address - Street 2:SUITE 318
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1753
Practice Address - Country:US
Practice Address - Phone:503-224-2820
Practice Address - Fax:503-224-2609
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11191235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist