Lindegard Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18085 Issued in OR

Legal business name

LINDEGARD THERAPY LLC

Practice address

2648 SW Hamilton CT
Portland, OR 97239-1216

Phone

(503) 913-0404

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

David Garder

Title

Speech Language Pathologist

Phone

(503) 913-0404

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1134590607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 SW HAMILTON CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 SW HAMILTON CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391216",
            "telephone_number": "503-913-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEGARD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "GARDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-913-0404"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "1-15-18085",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12129083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Noreen Drake Lac, LMT, LLC
• Mark S. Lindau, M.D.
• Allison Lindauer, FNP
• Sara Marie Lindauer, PT
• Kyla Bryn Lindberg, AGNP-C
• Jason Lee Lindekugel, D.C.
• Brian Michael Lindeman, M.D.
• Susan J Lindemulder, MD
• Heidi Linden, L.AC.
• Julia Linden

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.