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

Mrs. Marissa Nicole Quillen, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578348694

Mrs. Marissa Nicole Quillen, MEDCCC-SLP is a Speech-Language Pathologist in Ridgefield, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

6850 N Montgomery Cir
Ridgefield, WA 98642-5577
Phone: (503) 313-5925
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 14261673 (WA)

Record details

NPI number1578348694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

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