Unknown Individual – Speech-Language Pathologist, NPI 1063518314
Speech-Language Pathologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3087, Lazy Creek Drive, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048186
Phone: (541) 779-0530
Type: Mailing
Northwest Highland Avenue, Grants Pass, Josephine County, Oregon, 97526, United States
GRANTS PASS, OR 975261146
Phone: (541) 474-5495
Fax: (541) 471-6023
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97504)
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