Mrs Kelly Nicole Snow, CCC-SLP | |
19250 Sw 65th Ave Ste 125, Tualatin, OR 97062-7745 | |
(503) 413-4505 | |
Not Available |
Full Name | Mrs Kelly Nicole Snow |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 19250 Sw 65th Ave Ste 125, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710558721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 015799 (Oregon) | Primary |
Provider Name | Legacy Meridian Park Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Nicole Snow, CCC-SLP 4766 Se Rockwood St, Milwaukie, OR 97222-5016 Ph: (562) 756-7586 | Mrs Kelly Nicole Snow, CCC-SLP 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062-7745 Ph: (503) 413-4505 |
Ms. Janell Elizabeth Wismer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062 Phone: 503-614-1336 | |
Kaitlin Emily Jernstedt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-692-1670 | |
Sarah Breeze, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 800-813-2000 | |
Cinthia Marie Adair, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Nicole Kristine Beck, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Medical Plaza 1, Suite 125, Tualatin, OR 97062 Phone: 503-692-1783 | |
Kaycee Lynn Owens, MS CC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-692-1670 | |
Molly Ann Prideaux, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-885-7300 |