Sheyanne Susan Farr-Baenziger, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17158 Issued in OR

Practice address

17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078

Phone

(503) 850-2554

NPI assigned

Aug 20, 2021

Last updated

Dec 27, 2021By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parkwood Clinic LLC

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1124469325
  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1215603055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 SE 30TH AVE APT 58",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024567",
            "telephone_number": "970-769-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "503-850-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR-BAENZIGER",
        "first_name": "SHEYANNE",
        "middle_name": "SUSAN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Elizabeth Farnsworth, FNP-BC, AOCNP
• Sarah Jane E. Faro, PHARMD
• Arman Faroghi, MD
• Sydney Farquer
• Erin Farquhar
• Brian H. Farr, L.P.C.
• Erin Elizabeth Farr
• Granthem T Farr, DO
• Jaide Ashleigh Farr
• Marisa Farr, LMT

• 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 Dec 27, 2021; 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.