Wellformed AI

NPI 1740036250 · live from the CMS NPI Registry

Rebecca Ansen, SLP

Speech-Language Pathologist, in Eugene, OR. National Provider Identifier 1740036250, active.

NPI record

NPI1740036250 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location200 N Monroe St, Eugene, OR 97402
Practice phone541-790-7638
Mailing address257 C Ave, Lake Oswego, OR 97034
EnumeratedApril 25, 2024
Last updatedApril 25, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X016060 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.