Danielle Baker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DANIELLE BAKER

Doing business as

Portland Speech Clinic

Practice address

6516 NE Siskiyou St
Portland, OR 97213-4572

Phone

(503) 568-1781

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By 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

Danielle Baker, M.A., CCC-SLPNPI 1386078707

Title

Owner/Speech Language Pathologist

Phone

(503) 568-1781

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portland Speech Clinic Doing business as

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.

• Danielle Ashley Baker, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1386078707
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1285382150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153115",
            "telephone_number": "503-568-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134572",
            "telephone_number": "503-568-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-568-1781",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687686",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Speech Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danielmoray Corporation (Danielmoray CFS)
• Priscilla Daniels-Mark Grace Daniels-Mark I
• Alison Lee Daniels, LCSW

• 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 Mar 10, 2022; 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.