Individual provider Active NPI

Phuong Minh Parker, CCC-SLP

  • Speech-Language Pathologist
  • Lake Oswego, OR
National Provider Identifier
1023834553
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18217 Issued in OR
Practice address
4550 Carman Dr
Lake Oswego, OR 97035-2520
Phone
(503) 267-1076
NPI assigned
Nov 30, 2024
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
18217ORMDSpeech-Language Pathologist
SLP.LL.70019872WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.