NPI 1366176802 · live from the CMS NPI Registry
Reagan Josephine Barnes, M.S CCC-SLP
Speech-Language Pathologist, in Tigard, OR. National Provider Identifier 1366176802, active.
NPI record
| NPI | 1366176802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 17020 Sw Upper Boones Ferry Rd Ste 201, Tigard, OR 97224 |
| Practice phone | 503-894-1539 |
| Mailing address | 1401 E 10th St, Newberg, OR 97132 |
| Enumerated | July 11, 2022 |
| Last updated | July 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 17274 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.