Nicolette Cannon, | |
3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
(541) 524-7720 | |
Not Available |
Full Name | Nicolette Cannon |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3325 Pocahontas Rd, Baker City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639821960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 17387 (Oregon) | Primary |
Provider Name | Empowerme Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598495426 PECOS PAC ID: 2769723162 Enrollment ID: O20220808000758 |
Mailing Address | Practice Location Address |
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Nicolette Cannon, 3325 Pocahontas Rd, Baker City, OR 97814-1464 Ph: (541) 524-7720 | Nicolette Cannon, 3325 Pocahontas Rd, Baker City, OR 97814-1464 Ph: (541) 524-7720 |
Dr. Ellen Leota Jacobs, PH.D., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2704 2nd St, Baker City, OR 97814 Phone: 541-390-7376 | |
Mrs. Hali Hanna Fleming, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 955 Park St, Box 477, Baker City, OR 97814 Phone: 541-524-9935 | |
Amanda Johnson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-7720 | |
Claire Buehler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-7730 | |
Mrs. Anita Louise Swartz, MA CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3990 Midway Drive, Baker City, OR 97814 Phone: 541-523-2983 Fax: 541-523-5300 | |
Emily Jane Hawkins, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3820 17th St, Baker City, OR 97814 Phone: 541-523-5828 |