Shelly Jo Mendoza, SLP | |
490 North Second Street, Suite C, Coos Bay, OR 97420-2370 | |
(541) 267-5221 | |
(541) 267-5222 |
Full Name | Shelly Jo Mendoza |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 14 Years |
Location | 490 North Second Street, Coos Bay, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336455732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 13386 (Oregon) | Secondary |
235Z00000X | Speech-language Pathologist | 013386 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Rehabilitation Associates Inc | 5991753592 | 28 |
Provider Name | Northwest Rehabilitation Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972505790 PECOS PAC ID: 5991753592 Enrollment ID: O20050111000263 |
Mailing Address | Practice Location Address |
---|---|
Shelly Jo Mendoza, SLP 3270 Liberty Rd S, Salem, OR 97302 Ph: (503) 371-0779 | Shelly Jo Mendoza, SLP 490 North Second Street, Suite C, Coos Bay, OR 97420-2370 Ph: (541) 267-5221 |
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 | |
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 | |
Emma Kinross, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 465 Elrod Ave, Coos Bay, OR 97420 Phone: 541-751-7948 | |
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 |