NPI 1801160379 · live from the CMS NPI Registry
Angela Bacuyani, MA, CCC-SLP
Speech-Language Pathologist, in Redmond, OR. National Provider Identifier 1801160379, active.
NPI record
| NPI | 1801160379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1707 Sw Parkway Dr Ste B, Redmond, OR 97756 |
| Practice phone | 541-316-8004 |
| Mailing address | 2793 Nw Greenwood Ave, Redmond, OR 97756 |
| Enumerated | March 1, 2012 |
| Last updated | March 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 12904 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.