| Organization Name: | REDMOND SPEECH & LANGUAGE TOTAL COMMUNICATION SERVICES, LLC |
| NPI Number: | 1902170343 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA BACUYANI (MANAGER) |
| Mailing Address: | 1707 Sw Parkway Dr Ste B Redmond |
| State: | OR US |
| Postal Code: | 977562581 |
| Phone Number: | 5413168004 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |