Anna Jeddeloh Waters (NPI# 1902289929, PAC ID# 7911285226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1902289929 |
| PAC ID by PECOS | 7911285226 |
| Professional Enrollment ID | I20161020001033 |
| Full Name | Anna Jeddeloh Waters |
| Organization Legal Name | GREEN HILLS PEDIATRIC THERAPY INC |
| Address |
5319 Sw Westgate Dr Suite 120 Portland OR 97221-2313 |
| Phone Number | 5032974052 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 6002194305 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5319 Sw Westgate Dr, Suite 120, Portland, OR 97221-2313 | 5032974052 | GREEN HILLS PEDIATRIC THERAPY INC |
| 5319 Sw Westgate Dr, Portland, OR 97221-2313 | 5032974052 | GREEN HILLS PEDIATRIC THERAPY INC |
| Organization Legal Name | GREEN HILLS PEDIATRIC THERAPY INC |
| Physicians | 1 |
| Street Address |
5319 SW WESTGATE DR SUITE 120 |
| City | PORTLAND |
| State | OR |
| Zip | 97221-2313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Mclellarn | Clinical Psychologist | 5440 Sw Westgate Dr, Suite 175, Portland, OR 97221-2436 | |
| Elke Zuercher-white | Clinical Psychologist | 5440 Sw Westgate Dr, Suite 175, Portland, OR 97221-2436 | |
| Seth Callaghan Alley | Chiropractic | 5440 Sw Westgate Dr, Suite 100, Portland, OR 97221-2437 | |
| Claire L Rusunen | Clinical Psychologist | 4821 Sw 35th Pl, Portland, OR 97221-3904 |
| City | PORTLAND |
| Zip Code | 97221 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | PORTLAND + SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Anna Jeddeloh Waters.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.