Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kymell Yarice Agudo Garcia, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063383693

Kymell Yarice Agudo Garcia, MS, CCC-SLP is a Qualified Speech Language Pathologist in Salem, Oregon. Qualified in 2024, 2 years ago. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1475 Capitol St NE
Salem, OR 97301-7850
Phone: (971) 599-1712
Fax: (888) 835-4257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 18344 (OR)

Record details

NPI number1063383693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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