| Nicholas B Ertsgaard, MS CF-SLP | |
|
3220 Liberty Rd S, Salem, OR 97302-4560 | |
| (503) 749-9743 | |
| Not Available |
| Full Name | Nicholas B Ertsgaard |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 3220 Liberty Rd S, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215516828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 17386 (Oregon) | Primary |
| Provider Name | Northwest Rehabilitation Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972505790 PECOS PAC ID: 5991753592 Enrollment ID: O20050111000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas B Ertsgaard, MS CF-SLP 5191 Seeger Ln Se, Salem, OR 97306-1986 Ph: (503) 983-5573 | Nicholas B Ertsgaard, MS CF-SLP 3220 Liberty Rd S, Salem, OR 97302-4560 Ph: (503) 749-9743 |
Amber Khan, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3445 Boone Rd Se, Salem, OR 97317 Phone: 503-576-3000 | |
Ms. Haley Theodosis, MA,CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1475 Capitol St Ne, Salem, OR 97301 Phone: 971-599-1712 | |
Kimberly Gayle Baglien, MHS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200 | |
Ms. Carol Elizabeth Scharfer, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Skyline Medical Office, 5125 Skyline Road, South, Salem, OR 97306 Phone: 503-315-4661 | |
Kyleen Johnson, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3445 Boone Rd Se, Salem, OR 97317 Phone: 503-576-3000 | |
Kimberly Fiddler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1475 Capitol St Ne, Salem, OR 97301 Phone: 971-599-1712 Fax: 888-835-4257 | |
Debralee Grey, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Cottage St Ne, Salem, OR 97301 Phone: 503-399-1135 Fax: 503-364-3429 |