NPIMap

Organization Active NPI

Creating Pathways

  • Speech-Language Pathologist
  • Salem, OR
National Provider Identifier
1306284518
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12564 Issued in OR
Legal business name
CREATING PATHWAYS
Practice address
3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302
Phone
(503) 926-4299
Fax
(503) 926-9322
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Jamie Marie Ruiz
Title
Office Manager
Phone
(503) 926-4299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 1069889 OR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 12564 OR Primary

Addresses

Primary practice location

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302

Mailing address

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172
Phone (503) 926-4299

Other practice location 1

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302
Phone (503) 926-4299

National Provider Directory

National Provider Directory

Locations

3871 Fairview Industrial Dr SE
Ste 150
Salem, OR 97302
Phone (503) 391-9762

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1306284518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021172",
            "telephone_number": "503-926-4299",
            "fax_number": "503-926-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-926-4299",
            "fax_number": "503-926-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3871 Fairview Industrial Dr SE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97302",
            "country_code": "US",
            "telephone_number": "503-926-4299",
            "fax_number": "503-926-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATING PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-926-4299"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1069889",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.