Tara Bockrath, | |
219 Ne Fircrest Dr, Mcminnville, OR 97128-9046 | |
(503) 598-2373 | |
Not Available |
Full Name | Tara Bockrath |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 219 Ne Fircrest Dr, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205358900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 15736 (Oregon) | Primary |
Provider Name | Illinois Speech Pathology, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013623438 PECOS PAC ID: 5193190353 Enrollment ID: O20230331002243 |
Mailing Address | Practice Location Address |
---|---|
Tara Bockrath, 4262 N Vancouver Ave # S304, Portland, OR 97217-2994 Ph: (630) 302-7193 | Tara Bockrath, 219 Ne Fircrest Dr, Mcminnville, OR 97128-9046 Ph: (503) 598-2373 |
Kristina A Sheppard, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2538 Nw Hillcrest Loop, Mcminnville, OR 97128 Phone: 971-241-8745 | |
Daniel John Rhoads, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 220 Ne Norton Ln, Mcminnville, OR 97128 Phone: 971-599-1712 | |
Hailey Benjamin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2045 Sw Highway 18, Mcminnville, OR 97128 Phone: 305-815-1744 | |
Brittany Halladay, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 220 Ne Norton Ln, Mcminnville, OR 97128 Phone: 503-883-8250 | |
Mrs. Patricia Denisse Fasana-lynn, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 634 Nw 16th St, Mcminnville, OR 97128 Phone: 503-472-0303 | |
Cathy Ava Stoecker, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2045 Sw Highway 18 Ste 100, Mcminnville, OR 97128 Phone: 503-435-5928 |