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NPI Code Detail

MEDICARE: PATRICIA LYNNE GRADY CCC-SLP

MEDICARE:   PATRICIA LYNNE GRADY  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 Pathologist13247OR

General Provider Information

NPI Number : 1942553524
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LYNNE GRADY CCC-SLP
Provider Business Mailing Address
First Line : 255 RIVER AVE UNIT 40152
Second Line :
City : EUGENE
State : OR
Zip : 97404-0803
Country : US
Telephone Number : 541-356-7586
Fax Number :
Provider Business Practice Location Address
First Line : 255 RIVER AVE UNIT 40152
Second Line :
City : EUGENE
State : OR
Zip : 97404-0803
Country : US
Telephone Number : 541-357-7586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2012
Last Update Date : 04/29/2026

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Directions to “ PATRICIA LYNNE GRADY CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.