| Robin Naumann Jackson, CCC-SLP | |
|
1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | |
| (503) 802-5318 | |
| Not Available |
| Full Name | Robin Naumann Jackson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1675 Sw Marlow Ave Ste 200, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700083185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 011910 (Oregon) | Primary |
| Provider Name | Providence Health & Services Oregon |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Naumann Jackson, CCC-SLP 16085 Sw Davis Rd, Beaverton, OR 97007-4071 Ph: (503) 848-5604 | Robin Naumann Jackson, CCC-SLP 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 Ph: (503) 802-5318 |
Mira E Shah, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Se 61st Avenue, Portland, OR 97206 Phone: 503-348-0931 | |
Ann Sexton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6801 Se 60th Ave, Portland, OR 97206 Phone: 503-916-2000 | |
Jerae Bjelland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-2000 | |
Kit Miranda, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-494-5947 | |
Hearing & Speech Institute Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-228-6479 Fax: 503-228-4248 | |
Dr. Philip J Levinson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205 Phone: 503-226-1048 Fax: 503-226-1049 | |
Ms. Brenda Joy Nuckton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219 Phone: 503-236-4940 |