NPI 1083208052 · live from the CMS NPI Registry
Kimberly Gayle Baglien, MHS, CCC-SLP
Speech-Language Pathologist, in Salem, OR. National Provider Identifier 1083208052, active.
NPI record
| NPI | 1083208052 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 890 Oak St Se, Salem, OR 97301 |
| Practice phone | 503-561-5200 |
| Mailing address | 5049 Daniel St S, Salem, OR 97306 |
| Enumerated | February 21, 2021 |
| Last updated | February 21, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 13093 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.