| Stormy M Iverson, | |
|
1890 Waite St Ste 1, North Bend, OR 97459-1229 | |
| (541) 756-6232 | |
| Not Available |
| Full Name | Stormy M Iverson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1890 Waite St Ste 1, North Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356177000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 15021 (Oregon) | Primary |
| Provider Name | Waterfall Clinic Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Stormy M Iverson, 1890 Waite St Ste 1, North Bend, OR 97459-1229 Ph: (541) 756-6232 | Stormy M Iverson, 1890 Waite St Ste 1, North Bend, OR 97459-1229 Ph: (541) 756-6232 |
Holly T Howard, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2085 Inland Dr Ste A, North Bend, OR 97459 Phone: 541-267-5221 | |
Mrs. Lori Lynn Smith, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65611 E Bay Rd, North Bend, OR 97459 Phone: 541-404-6807 | |
Doreen Bonnie Smith, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 489 Commercial Street, North Bend, OR 97459 Phone: 503-307-5414 | |
Yi-ting Tsai, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2085 Inland Dr Ste A, North Bend, OR 97459 Phone: 412-996-5379 | |
Speech Hub Services P.c. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 489 Commercial St, North Bend, OR 97459 Phone: 503-307-5414 | |
Ms. Katie Pierson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2085 Inland Dr Ste A, North Bend, OR 97459 Phone: 541-269-7212 Fax: 541-267-5222 |