MEDICARE: ALLYSON BAILEY

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	18815	OR

General Provider Information

NPI Number	:	1659206845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON BAILEY

Provider Business Mailing Address
First Line	:	11407 ELMSTONE CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3760
Country	:	US
Telephone Number	:	858-999-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	1567 SW CHANDLER AVE STE 100
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3257
Country	:	US
Telephone Number	:	541-588-6350
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ ALLYSON BAILEY ” Practice Location

Language	Start Address	Practice Location

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