Sherry Rutledge

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1017546 Issued in OR

Practice address

1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356

Phone

(541) 440-4777

Fax

(541) 440-4771

NPI assigned

Aug 19, 2025

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

State licenses

Practice roles

Locations

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.

• Douglas Education Service District

  • Local Education Agency (LEA)
  • Roseburg, OR
  • NPI 1831061118

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1184501256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SE SHADY LN",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974965503",
            "telephone_number": "541-580-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 NE DIAMOND LAKE BLVD STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703356",
            "telephone_number": "541-440-4777",
            "fax_number": "541-440-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "1017546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Royce
• Jamiquan C Rudd, MSW
• Brandon Rundell
• Celestia Russell
• Cory L Russell, D.O.
• Mansi S Sabne, PT
• Fuey Annie Choy Saefong, PHARMD
• Thaen Chiam Saelee, PSY.D
• Dana Safavian, MD
• Safeway Inc

• Speech-Language Pathologist in Roseburg, OR
• Providers in Roseburg, 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 19, 2025; 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.