NPIMap

Organization Active NPI

Tillamook Speech Language Learning Center

  • Speech-Language Pathologist
  • Tillamook, OR
National Provider Identifier
1316435571
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13436
Legal business name
TILLAMOOK SPEECH LANGUAGE LEARNING CENTER
Doing business as
Tillamook Speech Language Learning Center
Practice address
800 Main Ave Ste B
Tillamook, OR 97141-3760
Phone
(503) 341-1571
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Beverly Joyce St.John, MS CCC SLPNPI 1437223997
Title
Speech Language Pathologist
Phone
(503) 341-1571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 13436 Primary

Addresses

Primary practice location

800 Main Ave Ste B
Tillamook, OR 97141-3760

Mailing address

210 Capes Dr W
Tillamook, OR 97141-9380
Phone (503) 341-1571

Other names 1

  • Tillamook Speech Language Learning Center Doing business as

National Provider Directory

National Provider Directory

Locations

800 Main Ave
Ste B
Tillamook, OR 97141
Phone (503) 341-1571

Practitioners & affiliated clinicians

Practitioners 1

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1316435571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CAPES DR W",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419380",
            "telephone_number": "503-341-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN AVE STE B",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413760",
            "telephone_number": "503-341-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK SPEECH LANGUAGE LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "ST.JOHN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-341-1571",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "13436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillamook Speech Language Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.