Kara Renee Gamboa, MS CCC - SLP
Individual provider Active NPI Speech-Language Pathologist · Washougal, WA
NPI 1801148606 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1801148606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12027111 (WA)
- Practice address
- 1100 34TH St.
Washougal, WA 98671 - Phone
- (360) 954-3775
- Fax
- (360) 954-3799
- NPI assigned
- Oct 4, 2012
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12027111 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12027111 | WA | Yes |
Addresses
Primary practice location
1100 34TH St.
Washougal, WA 98671
Mailing address
1100 34TH St.
Washougal, WA 98671
Phone (360) 954-3775
Other names
- Ms. Kara Renee Haven
Other providers in Washougal, WA
- Fishers Landing Urgent and Family Care
- Samantha Marie Flannelly
- Payton Folk
- Sharon A Fought
- Tara S Fritz
- Yvonne Gee
- Gillespie Chiropractic Clinic
- Supriya Goverdhanam
- Clare Griffis
- Vanessa Raven-Ann Griffith
All providers in Washougal, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. 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.