Mallory Sharon Lopas Rizzio

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16925 Issued in OR

Practice address

6252 SW Burlingame Ave
Portland, OR 97239-2633

Phone

(503) 515-4918

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Sharon Lopas Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sonos Neurotherapies

  • Hearing and Speech Clinic/Center
  • Bend, OR
  • NPI 1326467853

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1265001903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 SW BURLINGAME AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392633",
            "telephone_number": "503-515-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 SW BURLINGAME AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392633",
            "telephone_number": "503-515-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZIO",
        "first_name": "MALLORY",
        "middle_name": "SHARON LOPAS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "LOPAS",
            "middle_name": "SHARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hanni Rizk
• Iman Rizk
• Ashley Rizo Arcos
• Brooke Lee Rizor
• Myles Stuart Rizvi
• Marc David Rizzo, PHARM D
• RJ&Co
• Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP
• Alicia Marie Roach
• Emily Ann Roach

• 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 Jun 17, 2021; 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.

Verify at the official NPI Registry.