Aurora Wickstrom, is a
Speech-language Pathologist based in Banks, Oregon. Aurora Wickstrom is licensed to practice in * (Not Available) (license number ) and her current practice location is
41320 Nw Lodge Rd, Banks, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 888-9013.
NPI number for Aurora Wickstrom is 1003365990 and her current mailing address is 41320 Nw Lodge Rd, Banks, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003365990.
Healthcare Provider's Profile
Full Name | Aurora Wickstrom |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 41320 Nw Lodge Rd, Banks, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003365990
- Provider Enumeration Date: 10/03/2016
- Last Update Date: 10/03/2016
Medical Identifiers
Medical identifiers for Aurora Wickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003365990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aurora Wickstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Aurora Wickstrom, 41320 Nw Lodge Rd, Banks, OR 97106-7136 Ph: (503) 888-9013 | Aurora Wickstrom, 41320 Nw Lodge Rd, Banks, OR 97106-7136 Ph: (503) 888-9013 |
Reviews and Comments