Active NPI
Tamy Faye Bjorklund
- Speech-Language Pathologist
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13357
- Practice address
- 1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151 - Phone
- (541) 882-6691
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1997 | NE | |
| Speech-Language Pathologist | 235Z00000X | 13357 | OR | Primary |
Addresses
Primary practice location
1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151
Mailing address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Phone (866) 240-9580
Other practice location 1
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone (308) 635-3711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55092 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13357 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042
615 Washburn Way
Klamath Falls, OR 97603
Phone (541) 882-8900
9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
OR, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1164619839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "866-240-9580",
"fax_number": "971-206-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BRYANT WILLIAMS DR",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976017151",
"telephone_number": "541-882-6691"
}
],
"practiceLocations": [
{
"address_1": "4021 Avenue B",
"address_purpose": "LOCATION",
"city": "Scottsbluff",
"state": "NE",
"postal_code": "693614602",
"country_code": "US",
"telephone_number": "308-635-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BJORKLUND",
"first_name": "TAMY",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1997",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55092",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.