MEDICARE: MEGAN KRAMER M.S., 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
1	235Z00000X	Speech-Language Pathologist	61034592	WA

General Provider Information

NPI Number	:	1366075293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KRAMER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	950 SE REGATTA DR # 101
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5451
Country	:	US
Telephone Number	:	360-201-8760
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 SE REGATTA DR # 101
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5451
Country	:	US
Telephone Number	:	360-201-8760
Fax Number	:

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

Provider Enumeration Date	:	02/19/2020
Last Update Date	:	02/19/2020

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