Emma Kinross, | |
465 Elrod Ave, Coos Bay, OR 97420-1532 | |
(541) 751-7948 | |
Not Available |
Full Name | Emma Kinross |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 465 Elrod Ave, Coos Bay, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801586524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 17253 (Oregon) | Primary |
Provider Name | Waterfall Clinic Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
Mailing Address | Practice Location Address |
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Emma Kinross, 1036 S 5th St, Coos Bay, OR 97420-1204 Ph: (512) 299-4505 | Emma Kinross, 465 Elrod Ave, Coos Bay, OR 97420-1532 Ph: (541) 751-7948 |
Ms. Carol Marie Tucker, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 836 Fulton Ave, Coos Bay, OR 97420 Phone: 541-297-8907 Fax: 541-888-5188 | |
Shelly Jo Mendoza, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 490 North Second Street, Suite C, Coos Bay, OR 97420 Phone: 541-267-5221 Fax: 541-267-5222 | |
Ms. Natalie Elaine Derr, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 490 N 2nd St, Coos Bay, OR 97420 Phone: 541-267-5221 Fax: 541-267-5221 | |
Melody Lynn Sheldon, MA., CCC-SP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 490 N. Second, Ste C, Coos Bay, OR 97420 Phone: 541-267-5221 Fax: 541-267-5221 | |
Deanna Hale, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 Koos Bay Blvd, Coos Bay, OR 97420 Phone: 541-267-2161 | |
Mrs. Tamara Susan Heath, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 Koos Bay Blvd, Coos Bay, OR 97420 Phone: 541-267-2161 |