Lee Ann Baecker
Individual provider Active NPI Speech-Language Pathologist · Turner, OR
NPI 1285004440 · NPPES record last updated Sep 30, 2015
Key facts
- NPI
- 1285004440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 27260912 (OR)
- Practice address
- 2783 Ridgeway Dr SE
Turner, OR 97392-9370 - Phone
- (541) 913-4740
- Fax
- (503) 581-8906
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 27260912 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterboks Speech Therapy PC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 27260912 | OR | Yes |
Addresses
Primary practice location
2783 Ridgeway Dr SE
Turner, OR 97392-9370
Mailing address
8582 Macleay Rd SE
Salem, OR 97317-9052
Phone (530) 205-6294
Other providers in Turner, OR
- Angelia Denise Beckwith
- Venessa Brewton
- Cascade School District
- Chatterboks Speech Therapy PC
- Marcia Dyk
All providers in Turner, 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 Sep 30, 2015. 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.