MEDICARE: ANNA KATE CHAFFEE MS SLP-CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	37940	CA

General Provider Information

NPI Number	:	1437937455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA KATE CHAFFEE MS SLP-CCC

Provider Business Mailing Address
First Line	:	326 SW 7TH ST
Second Line	:
City	:	REDMOND
State	:	OR
Zip	:	97756-2205
Country	:	US
Telephone Number	:	541-668-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	4343 SHIELDS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-2933
Country	:	US
Telephone Number	:	858-221-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	02/20/2026

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Directions to “ ANNA KATE CHAFFEE MS SLP-CCC” Practice Location

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