Active NPI
Earl Lovejoy, MS. CCC/SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1265623896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10850
- Practice address
- 5601 SE 122ND Ave
Portland, OR 97236-4601 - Phone
- (503) 761-3181
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 10850 | OR | Primary |
| Speech-Language Pathologist | 235Z00000X | LL00003546 | WA |
Addresses
Primary practice location
5601 SE 122ND Ave
Portland, OR 97236-4601
Mailing address
3510 SE 181St Ave
Vancouver, WA 98683-8272
Phone (360) 896-4997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018486 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10850 | OR | MD | Speech-Language Pathologist |
| LL00003546 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1265623896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 SE 181ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838272",
"telephone_number": "360-896-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 SE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972364601",
"telephone_number": "503-761-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVEJOY",
"first_name": "EARL",
"name_prefix": "Mr.",
"credential": "MS. CCC/SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "10850",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003546",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018486",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.