Active NPI
Phuong Minh Parker, CCC-SLP
- Speech-Language Pathologist
- Lake Oswego, OR
National Provider Identifier
1023834553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18217
- Practice address
- 4550 Carman Dr
Lake Oswego, OR 97035-2520 - Phone
- (503) 267-1076
- NPI assigned
- Nov 30, 2024
- Last updated
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.LL.70019872 | WA | |
| Speech-Language Pathologist | 235Z00000X | 18217 | OR | Primary |
Addresses
Primary practice location
4550 Carman Dr
Lake Oswego, OR 97035-2520
Mailing address
PO Box 1084
Camas, WA 98607-0084
Phone (503) 260-3687
Other practice location 1
8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126
Phone (877) 755-8940
Other practice location 2
740 NE Dallas St
Camas, WA 98607-2058
Phone (360) 834-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18217 | OR | MD | Speech-Language Pathologist |
| SLP.LL.70019872 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidscare Home Health of Oregon LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Beaverton, OR
- NPI 1205446135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1023834553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1084",
"city": "CAMAS",
"state": "WA",
"postal_code": "986070084",
"telephone_number": "503-260-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 CARMAN DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352520",
"telephone_number": "503-267-1076"
}
],
"practiceLocations": [
{
"address_1": "8625 SW Cascade Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970087126",
"country_code": "US",
"telephone_number": "877-755-8940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "740 NE Dallas St",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986072058",
"country_code": "US",
"telephone_number": "360-834-5055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "PHUONG",
"middle_name": "MINH",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-30",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SLP.LL.70019872",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "18217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.