Michele Manley Bradford, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Pendleton, OR
NPI 1760633838 · NPPES record last updated Oct 7, 2008
Key facts
- NPI
- 1760633838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11891 (OR)
- Practice address
- 604 SE 6TH St
Pendleton, OR 97801-3107 - Phone
- (541) 969-1175
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11891 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11891 | OR | Yes |
Addresses
Primary practice location
604 SE 6TH St
Pendleton, OR 97801-3107
Mailing address
604 SE 6TH St
Pendleton, OR 97801-3107
Phone (541) 969-1175
Other providers in Pendleton, OR
- Blue Mountain Pathology Inc
- Sharon I Boothe
- Christopher Bounds
- Sandra Bowen Lee Bowen
- Andrew L Bower
- James Gibson Bradt
- Taylor Ann Bradt
- Julie Ellen Brandenburg
- Josh Bratton
- Courtney Michael Brennan
All providers in Pendleton, 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 Oct 7, 2008. 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.