Boone Reavis, in Wilsonville, OR - Medicare Speech-Language Pathologist Provider

Boone Reavis, is a medicare enrolled "Speech-language Pathologist" provider in Wilsonville, Oregon. His current practice location is 25117 Sw Parkway Ave, Ste D, Wilsonville, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 244-2040.

Boone Reavis is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306224480.

Contact Information

	Boone Reavis,
	25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697
	(971) 244-2040
	Not Available

Healthcare Provider's Profile

Full Name	Boone Reavis
Gender	Male
Speciality	Speech-language Pathologist
Location	25117 Sw Parkway Ave, Wilsonville, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306224480
Provider Enumeration Date: 05/11/2015
Last Update Date: 05/11/2015

Medicare PECOS Information:

PECOS PAC ID: 2961888706
Enrollment ID: I20221003001755

Medical Identifiers

Medical identifiers for Boone Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306224480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boone Reavis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Boone Reavis, 1009 Ne 47th Ave, #12, Portland, OR 97213-2218 Ph: (971) 570-0537	Boone Reavis, 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 Ph: (971) 244-2040

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Speech-Language Pathologist in Wilsonville, OR

Rebecca Colvin, M.A.-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7253 Sw Meadows Ct, Wilsonville, OR 97070 Phone: 503-707-5652
Cortney Paluso, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 971-224-2040
Grace Ashley Rose Reece, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 971-364-0611 Fax: 971-364-0610
Kimberly Anne Chignell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665
Caitlin Ashley Bruns, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11312 Sw Barber St, Wilsonville, OR 97070 Phone: 503-530-6727
Jacob J. Swain, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Ste. D, Wilsonville, OR 97070 Phone: 503-570-3665 Fax: 503-570-9155
Kirsten Kerr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665

Boone Reavis, - Medicare Speech-Language Pathologist in Wilsonville, OR