Sara Drage
Individual provider Active NPI Speech-Language Pathologist · Seaside, OR
NPI 1205248697 · NPPES record last updated May 20, 2014
Key facts
- NPI
- 1205248697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 014063 (OR)
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 717-7789
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014063 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 014063 | OR | Yes |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
261 Railroad Ave
Gearhart, OR 97138-4402
Phone (503) 791-4258
Other providers in Seaside, OR
- Darren L Thorsen OD
- Stephen Depirro II
- Staci Rae Donley
- Sherry Christine Dowell
- Dianna Lindberg Doyle
- Zaire Eltayeb
- Emeritus Corporation
- Emeritus Corporation
- Lisa April Escalante
- Allisa Tanzer Evans
All providers in Seaside, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.