David Anthony Alarcon, MA SLP-CF
Individual provider Active NPI Speech-Language Pathologist · Portland, OR
NPI 1033622386 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1033622386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016182 (OR)
- Practice address
- 12441 SE Stark St
Portland, OR 97233-1053 - Phone
- (503) 255-7141
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016182 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016182 | OR | Yes |
Addresses
Primary practice location
12441 SE Stark St
Portland, OR 97233-1053
Mailing address
430 NW Island Cir Apt A2
Beaverton, OR 97006-8526
Phone (510) 258-9149
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.