McKenzie Carol Rushcamp, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016601 Issued in OR

Practice address

14780 SW Osprey Dr Ste 285
Beaverton, OR 97007-8073

Phone

(503) 579-7327

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• McKenzie Carol Hendricks Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empower Speech Therapy

  • Speech-Language Pathologist
  • Tualatin, OR
  • NPI 1386392785
  NPD Authorized official
• Pediatric Therapy Services Inc

  • Pediatric Occupational Therapist
  • Gresham, OR
  • NPI 1700842531

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1114543329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078073",
            "telephone_number": "503-579-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078073",
            "telephone_number": "503-579-7327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 NE Hood Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307450",
            "country_code": "US",
            "telephone_number": "503-666-1333",
            "fax_number": "503-666-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHCAMP",
        "first_name": "MCKENZIE",
        "middle_name": "CAROL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oregonpts.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "304 NE Hood Ave",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970307450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "HENDRICKS",
            "middle_name": "CAROL",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Haley Rudick, LMT
• Alana Rudolph
• Dessirea Rufino, RN
• Austin Ruiz
• Nayeli Ruiz
• Carrie Elizabeth Russo, NTP
• Brian Tyson Rust, DMD
• Sandra Rustam, M.A., LPCI
• Melissa Rutherford
• Julie Ruud

• Speech-Language Pathologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.