Mrs Marissa Nicole Quillen, MED CCC-SLP is a
Speech-language Pathologist based in Ridgefield, Washington. Mrs Marissa Nicole Quillen is licensed to practice in Washington (license number 14261673) and her current practice location is
6850 N Montgomery Cir, Ridgefield, Washington. She can be reached at her office (for appointments etc.) via phone at
(503) 313-5925.
NPI number for Mrs Marissa Nicole Quillen is 1578348694 and her current mailing address is 6850 N Montgomery Cir, Ridgefield, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578348694.
Healthcare Provider's Profile
Full Name | Mrs Marissa Nicole Quillen |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 6850 N Montgomery Cir, Ridgefield, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578348694
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medical Identifiers
Medical identifiers for Mrs Marissa Nicole Quillen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578348694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 14261673 (Washington) | 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. Mrs Marissa Nicole Quillen 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 |
Mrs Marissa Nicole Quillen, MED CCC-SLP 6850 N Montgomery Cir, Ridgefield, WA 98642-5577 Ph: (503) 313-5925 | Mrs Marissa Nicole Quillen, MED CCC-SLP 6850 N Montgomery Cir, Ridgefield, WA 98642-5577 Ph: (503) 313-5925 |
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