NPI 1467201277 · live from the CMS NPI Registry
Heather Ann Ballou Wells, M.A., CCC-SLP
Speech-Language Pathologist, in Gresham, OR. National Provider Identifier 1467201277, active.
NPI record
| NPI | 1467201277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1331 Nw Eastman Pkwy, Gresham, OR 97030 |
| Practice phone | 503-264-4653 |
| Mailing address | 39995 Mitchell Ct, Sandy, OR 97055 |
| Enumerated | May 14, 2024 |
| Last updated | May 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 011965 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.