Taelor Symone Carter, | |
3300 19th Ave, Forest Grove, OR 97116-1910 | |
(503) 357-7119 | |
Not Available |
Full Name | Taelor Symone Carter |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3300 19th Ave, Forest Grove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508466335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 16992 (Oregon) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230303001749 |
Mailing Address | Practice Location Address |
---|---|
Taelor Symone Carter, 4622 Se Nehalem St, Portland, OR 97206-9103 Ph: (541) 979-3900 | Taelor Symone Carter, 3300 19th Ave, Forest Grove, OR 97116-1910 Ph: (503) 357-7119 |
Connie Marie Gray, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2204 A St, Forest Grove, OR 97116 Phone: 503-799-2306 | |
Mckenzie Lind, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Pacific Ave, Forest Grove, OR 97116 Phone: 503-359-0449 | |
Dr. Richard R Lemoncello, PHD, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Pacific University / School Of Csd, Forest Grove, OR 97116 Phone: 503-352-1452 | |
Jennifer Thomas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Pacific Ave, Forest Grove, OR 97116 Phone: 503-359-0449 | |
Keri Kendall, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Pacific Ave, Forest Grove, OR 97116 Phone: 503-359-0449 | |
Ms. Rachel Lucinda Erin Dilly, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3300 19th Ave., Forest Grove, OR 97116 Phone: 971-206-5200 Fax: 971-206-5203 |