NPIMap

Organization Active NPI

Parkwood Clinic LLC

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1124469325
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015000 Issued in OR
Legal business name
PARKWOOD CLINIC LLC
Practice address
833 SW 11TH Ave
Ste 620
Portland, OR 97205-2125
Phone
(502) 894-1539
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Ashley Rebecca Rose, M.S., CCC-SLP
Title
Owner/Director
Phone
(503) 894-1539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 015000 OR Primary

Addresses

Primary practice location

833 SW 11TH Ave
Ste 620
Portland, OR 97205-2125

Mailing address

833 SW 11TH Ave
Ste 620
Portland, OR 97205-2125
Phone (502) 894-1539

National Provider Directory

National Provider Directory

Locations

368 S State St
Lake Oswego, OR 97034

650 A Ave
Lake Oswego, OR 97034

833 SW 11th Ave
Ste 620
Portland, OR 97205
Phone (503) 869-7290

2378 NW Irving St
Portland, OR 97210
Phone (503) 228-8349

2370 NW Vaughn St
Portland, OR 97210

1045 NW 123rd Ave
Portland, OR 97229

3644 SW Troy St
Ste 100
Portland, OR 97219
Phone (503) 894-1539

15643 SW Oregon St
Sherwood, OR 97140

17020 SW Boones Ferry Rd
Tigard, OR 97224
Phone (503) 894-1539

19915 Old River Dr
West Linn, OR 97068

1754 Knapps Aly
West Linn, OR 97068

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1124469325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "STE 620",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "502-894-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "STE 620",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "502-894-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "503-894-1539",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.