MS. JENNIFER LYNN PEDDICORD MA, CCC-SLP
NPI 1205020781
Speech-Language Pathologist in Beaverton, OR

Active since August 28, 2007
4900 SW GRIFFITH DRIVE, SUITE 157, BEAVERTON, OR 97005(503) 517-8555(503) 517-8556 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jennifer Lynn Peddicord Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER LYNN PEDDICORD MA, CCC-SLP (NPI 1205020781) is an individual speech-language pathologist provider in Beaverton, Oregon, licensed in Oregon (12924) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1205020781
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. JENNIFER LYNN PEDDICORDCredential: MA, CCC-SLP
Location Address4900 SW GRIFFITH DRIVE, SUITE 157Beaverton, OR 97005
Mailing Address6530 Sw 30th AvePortland, OR 97239-1007 · (503) 595-8243
Fax(503) 517-8556
Sole ProprietorNo
Enumeration DateAugust 28, 2007
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1205020781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in OR · 12924
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4900 SW GRIFFITH DRIVE, Beaverton, OR 97005

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4900 SW GRIFFITH DRIVE, SUITE 157
BEAVERTON, OR 97005
Speech-Language Pathologist
4900 SW GRIFFITH DRIVE, SUITE 157
BEAVERION, OR 97005
Occupational Therapist
4900 SW GRIFFITH DRIVE, SUITE 157
BEAVERTON, OR 97005
Speech-Language Pathologist
4900 SW GRIFFITH DRIVE, SUITE 157
BEAVERTON, OR 97005
Occupational Therapist
4900 SW GRIFFITH DRIVE, SUITE 157
BEAVERTON, OR 97005
Clinic/Center (Adolescent and Children Mental Health)
4900 SW GRIFFITH DRIVE, ST 157
BEAVERTON, OR 97005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205020781, enumerated as an "individual" on August 28, 2007.

The provider is located at 4900 SW GRIFFITH DRIVE SUITE 157 BEAVERTON, OR 97005 and the phone number is (503) 517-8555.

Speech-Language Pathologist with taxonomy code 235Z00000X.