Molly Ann Prideaux, | |
19185 Sw 90th Ave, Tualatin, OR 97062-7558 | |
(503) 885-7300 | |
Not Available |
Full Name | Molly Ann Prideaux |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 19185 Sw 90th Ave, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427166966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12646 (Oregon) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Molly Ann Prideaux, 5288 Broadway St, West Linn, OR 97068-3306 Ph: (541) 510-3482 | Molly Ann Prideaux, 19185 Sw 90th Ave, Tualatin, OR 97062-7558 Ph: (503) 885-7300 |
Ms. Janell Elizabeth Wismer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062 Phone: 503-614-1336 | |
Kaitlin Emily Jernstedt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-692-1670 | |
Sarah Breeze, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 800-813-2000 | |
Cinthia Marie Adair, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Nicole Kristine Beck, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Medical Plaza 1, Suite 125, Tualatin, OR 97062 Phone: 503-692-1783 | |
Kaycee Lynn Owens, MS CC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-692-1670 |