Manzano Speech Therapy is a
Speech-language Pathologist based in Lakeside, Oregon. Manzano Speech Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
70909 Devore Arm Rd, Lakeside, Oregon. It can be reached at their office (for appointments etc.) via phone at
(737) 787-7367.
NPI number for Manzano Speech Therapy is 1285356360 and their current mailing address is Po Box 242, Lakeside, Oregon. Manzano Speech Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1285356360.
Healthcare Provider's Profile
| Full Name | Manzano Speech Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 70909 Devore Arm Rd, Lakeside, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285356360
- Provider Enumeration Date: 09/14/2022
- Last Update Date: 09/14/2022
Medical Identifiers
Medical identifiers for Manzano Speech Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285356360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Manzano Speech Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Manzano Speech Therapy Po Box 242, Lakeside, OR 97449-0242 Ph: (737) 787-7367 | Manzano Speech Therapy 70909 Devore Arm Rd, Lakeside, OR 97449-8502 Ph: (737) 787-7367 |
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