Individual provider Active NPI

Laura Vigeland, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1134635170
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015911 Issued in OR
Practice address
5208 NE 122ND Ave
Portland, OR 97230-1074
Phone
(503) 256-6500
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015911 OR Primary

Addresses

Primary practice location

5208 NE 122ND Ave
Portland, OR 97230-1074

Mailing address

10197 SE Bell Ave
Milwaukie, OR 97222-2533
Phone (503) 475-0241

Other practice location 1

5200 SW MacAdam Ave Ste 100
Portland, OR 97239-3843
Phone (503) 224-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015911ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134635170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10197 SE BELL AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222533",
            "telephone_number": "503-475-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301074",
            "telephone_number": "503-256-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 SW MacAdam Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393843",
            "country_code": "US",
            "telephone_number": "503-224-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGELAND",
        "first_name": "LAURA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015911",
            "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 Mar 17, 2018; 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.