Rosemary Ayres

Individual provider Active NPI Speech-Language Pathologist · Philomath, OR

NPI 1881859635 · NPPES record last updated Jul 22, 2008

Key facts

NPI
1881859635
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
10192 (OR)
Practice address
138 S. 12TH Street
Philomath, OR 97370-1492
Phone
(541) 929-4568
Fax
(541) 929-4513
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10192ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemary Ayres, Ms, CCC-SLP Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10192 OR Yes

Addresses

Primary practice location

138 S. 12TH Street
Philomath, OR 97370-1492

Mailing address

PO Box 1492
Philomath, OR 97370-1492
Phone (541) 929-4568

Other providers in Philomath, OR

All providers in Philomath, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.