Individual provider Active NPI

Stephanie K. Crawford, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1033367644
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014012 Issued in OR
Practice address
1500 NW Bethany Blvd
Beaverton, OR 97006-5208
Phone
(503) 346-0640
Fax
(503) 346-8040
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1206 NH
Speech-Language Pathologist 235Z00000X 014012 OR Primary

Addresses

Primary practice location

1500 NW Bethany Blvd
Beaverton, OR 97006-5208

Mailing address

1500 NW Bethany Blvd
Beaverton, OR 97006-5208
Phone (503) 346-0640

Other practice location 1

30 Saint Thomas St
Dover, NH 03820-3704
Phone (603) 740-3534

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1206NHMDAddiction (Substance Use Disorder) Counselor
014012ORMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1033367644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065208",
            "telephone_number": "503-346-0640",
            "fax_number": "503-346-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065208",
            "telephone_number": "503-346-0640",
            "fax_number": "503-346-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Saint Thomas St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203704",
            "country_code": "US",
            "telephone_number": "603-740-3534",
            "fax_number": "603-740-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "STEPHANIE",
        "middle_name": "K.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1206",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "014012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.