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NPI Code Detail

MEDICARE: MRS. DAYNA L BAILEY MS CCC SLP

MEDICARE:  MRS. DAYNA L BAILEY  MS CCC SLP
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
1235Z00000XSpeech-Language Pathologist12450OR

General Provider Information

NPI Number : 1356555734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAYNA L BAILEY MS CCC SLP
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE STE D
Second Line :
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number : 503-570-3665
Fax Number : 503-570-9155
Provider Business Practice Location Address
First Line : 5220 NE HAZEL DELL AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-1242
Country : US
Telephone Number : 360-314-1719
Fax Number : 360-696-2094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 05/26/2011

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Directions to “ MRS. DAYNA L BAILEY MS CCC SLP” Practice Location

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