Travis M Dockter Ms CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TRAVIS M DOCKTER MS CCC-SLP

Practice address

1907 NE 127TH Ave
Portland, OR 97230-1814

Phone

(971) 282-3575

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Martin Dockter, MS CCC-SLPNPI 1962890574

Title

Speech-Language Pathologist

Phone

(971) 282-3575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis Dockter, M.S.

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1962890574
  NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1245813088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 NE 127TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301814",
            "telephone_number": "971-282-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 NE 127TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301814",
            "telephone_number": "971-282-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS M DOCKTER MS CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "DOCKTER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "971-282-3575",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Traver
• Jennifer Ann Travers, RN
• Jasmine Traversie
• Shannon Denae Traversino, LMT
• Travis J. Elliott ND LLC
• Celeste Travis, QMHA-R
• Erin E Travis, PSS
• Heidi Winn Travis, LPC
• Jennifer L Travis, RN/ BC
• Kelsey Ann Travis

• 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 Apr 29, 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.