| Steven Kenneth Larson, SLP | |
|
1309 Ne 27th St, Mcminnville, OR 97128-2399 | |
| (503) 472-4678 | |
| Not Available |
| Full Name | Steven Kenneth Larson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1309 Ne 27th St, Mcminnville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851123061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 17126 (Oregon) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376272732 PECOS PAC ID: 6507832573 Enrollment ID: O20220801001861 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Kenneth Larson, SLP 16690 Sw Matador Ln Apt Suite, Portland, OR 97224-2150 Ph: (602) 517-7017 | Steven Kenneth Larson, SLP 1309 Ne 27th St, Mcminnville, OR 97128-2399 Ph: (503) 472-4678 |
Kristina A Sheppard, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2538 Nw Hillcrest Loop, Mcminnville, OR 97128 Phone: 971-241-8745 | |
Daniel John Rhoads, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 220 Ne Norton Ln, Mcminnville, OR 97128 Phone: 971-599-1712 | |
Hailey Benjamin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2045 Sw Highway 18, Mcminnville, OR 97128 Phone: 305-815-1744 | |
Brittany Halladay, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 220 Ne Norton Ln, Mcminnville, OR 97128 Phone: 503-883-8250 | |
Mrs. Patricia Denisse Fasana-lynn, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 634 Nw 16th St, Mcminnville, OR 97128 Phone: 503-472-0303 | |
Cathy Ava Stoecker, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2045 Sw Highway 18 Ste 100, Mcminnville, OR 97128 Phone: 503-435-5928 | |
Mr. Lance Taylor, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 421 Se Evans St, Mcminnville, OR 97128 Phone: 503-472-3141 |