Colin Scott Misich, | |
3130 Se Stark St, Portland, OR 97214-3000 | |
(503) 535-4700 | |
Not Available |
Full Name | Colin Scott Misich |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 3130 Se Stark St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285302182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 17047 (Oregon) | Primary |
Provider Name | Progressive Rehabilitation Associates Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790760908 PECOS PAC ID: 3476547258 Enrollment ID: O20040413001850 |
Mailing Address | Practice Location Address |
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Colin Scott Misich, 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 Ph: () - | Colin Scott Misich, 3130 Se Stark St, Portland, OR 97214-3000 Ph: (503) 535-4700 |
Mira E Shah, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Se 61st Avenue, Portland, OR 97206 Phone: 503-348-0931 | |
Ann Sexton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6801 Se 60th Ave, Portland, OR 97206 Phone: 503-916-2000 | |
Jerae Bjelland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-2000 | |
Hearing & Speech Institute Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-228-6479 Fax: 503-228-4248 | |
Dr. Philip J Levinson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205 Phone: 503-226-1048 Fax: 503-226-1049 | |
Katherine Rhodes, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Ne 148th Ave, Portland, OR 97230 Phone: 503-262-9359 | |
Ms. Brenda Joy Nuckton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219 Phone: 503-236-4940 |