NPI 1063383693 · live from the CMS NPI Registry
Kymell Yarice Agudo Garcia, MS, CCC-SLP
Speech-Language Pathologist, in Salem, OR. National Provider Identifier 1063383693, active.
NPI record
| NPI | 1063383693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1475 Capitol St Ne, Salem, OR 97301 |
| Practice phone | 971-599-1712 |
| Mailing address | Po Box 12381, Salem, OR 97309 |
| Enumerated | September 16, 2025 |
| Last updated | September 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 18344 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.