MEDICARE: ELENA SAELI

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	LL 60615366	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306202908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA SAELI

Provider Business Mailing Address
First Line	:	1355 W RAILROAD AVE APT 7
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-3855
Country	:	US
Telephone Number	:	360-551-5092
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E SPENCER LAKE RD
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-7307
Country	:	US
Telephone Number	:	360-427-2737
Fax Number	:

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

Provider Enumeration Date	:	01/12/2016
Last Update Date	:	12/03/2019

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Directions to “ ELENA SAELI ” Practice Location

Language	Start Address	Practice Location

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