Megan Tabitha Bravo, | |
2211 Ne 139th St, Vancouver, WA 98686-2742 | |
(360) 487-1000 | |
Not Available |
Full Name | Megan Tabitha Bravo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2211 Ne 139th St, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356903884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 016655 (Oregon) | Primary |
Provider Name | Legacy Salmon Creek Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
Mailing Address | Practice Location Address |
---|---|
Megan Tabitha Bravo, 10926 Sw Celeste Ln Apt 411, Portland, OR 97225-7111 Ph: (510) 789-5160 | Megan Tabitha Bravo, 2211 Ne 139th St, Vancouver, WA 98686-2742 Ph: (360) 487-1000 |
Mrs. Joyelle K Divall Rayan, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7825 Ne 130th Ave, Vancouver, WA 98682 Phone: 360-604-3425 | |
Mrs. Renee A Crawford, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw 119th St # Stl, Vancouver, WA 98685 Phone: 360-313-1750 | |
Dawn Lalonde, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Ne 157th St, Vancouver, WA 98686 Phone: 360-907-6357 | |
Kimberly Wilkerson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200 | |
Jenna Lynn Frink, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Grand Blvd, Vancouver, WA 98661 Phone: 360-418-0419 | |
Tracy Lee Moser, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6511 Ne 18th St, Vancouver, WA 98661 Phone: 360-759-4917 Fax: 360-759-4921 | |
Mr. Francis Timothy Regan, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3212 E Evergreen Blvd, Vancouver, WA 98661 Phone: 360-313-1988 |