NPI 1881859635 · live from the CMS NPI Registry
Rosemary Ayres
Speech-Language Pathologist, in Philomath, OR. National Provider Identifier 1881859635, active.
NPI record
| NPI | 1881859635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 138 S. 12th Street, Philomath, OR 97370 |
| Practice phone | 541-929-4568 |
| Mailing address | Po Box 1492, Philomath, OR 97370 |
| Enumerated | July 22, 2008 |
| Last updated | July 22, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 10192 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.