Heidi Sue Sobotka, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015195 Issued in OR

Practice address

2120 SW Jefferson St Ste B200
Portland, OR 97201-7727

Phone

(503) 244-4083

NPI assigned

Aug 31, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• A Hope for Autism Foundation

  • Hearing and Speech Clinic/Center
  • Portland, OR
  • NPI 1093182644
  NPD (past)
• Aspire Therapy

  • Hearing and Speech Clinic/Center
  • Gresham, OR
  • NPI 1508500521
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1134596786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27640 SE ORIENT DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808254",
            "telephone_number": "503-866-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW JEFFERSON ST STE B200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972017727",
            "telephone_number": "503-244-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTKA",
        "first_name": "HEIDI",
        "middle_name": "SUE",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sober Living Oregon Treatment Center
• Mara Sobesky
• Leah Sobieck
• Salomeya Sobko
• Robbin Sobotka-Soles, BCABA
• Giovanna L Sobrinho, M.D.
• Robert Eric Socherman, PH.D.
• Social 58 LLC
• Callie M Sockler, AGACNP
• Lindsay Yard Socotch, CCC-SLP

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, 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 Aug 31, 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.