Charla Marie Breitigam, is a
Speech-language Pathologist based in Depoe Bay, Oregon. Charla Marie Breitigam is licensed to practice in California (license number 26501) and her current practice location is
370 Ne Williams Ave, Depoe Bay, Oregon. She can be reached at her office (for appointments etc.) via phone at
(760) 382-0437.
NPI number for Charla Marie Breitigam is 1528676756 and her current mailing address is Po Box 1138, Depoe Bay, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528676756.
Healthcare Provider's Profile
Full Name | Charla Marie Breitigam |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 370 Ne Williams Ave, Depoe Bay, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528676756
- Provider Enumeration Date: 07/14/2020
- Last Update Date: 07/14/2020
Medical Identifiers
Medical identifiers for Charla Marie Breitigam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528676756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 26501 (California) | 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. Charla Marie Breitigam 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 |
Charla Marie Breitigam, Po Box 1138, Depoe Bay, OR 97341-1138 Ph: (760) 382-0437 | Charla Marie Breitigam, 370 Ne Williams Ave, Depoe Bay, OR 97341-1982 Ph: (760) 382-0437 |
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