Eliza Bockstahler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

13455 SE 97TH Ave
Clackamas, OR 97015-8662

Phone

(708) 516-1477

NPI assigned

May 8, 2024

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clackamas Education Service District

  • Local Education Agency (LEA)
  • Clackamas, OR
  • NPI 1558176388
  NPD
• Clackamas Education Service District

  • Local Education Agency (LEA)
  • Clackamas, OR
  • NPI 1558424432
  NPD

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1346098977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158662",
            "telephone_number": "708-516-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158662",
            "telephone_number": "708-516-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKSTAHLER",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ragen M Blakeley, QMHA
• Bryan Blalock
• Christa Brady Blecher, MD
• Arrow Bless
• Blissful Balance LLC
• Mary M Bodie, M.D.
• Bodyview Advanced Diagnostic Scanning, LLC (BodyView Scanning)
• Stephanie Boehm, DPT
• Richard Boettcher, R.PH.
• Mary Clare Bohnett, MD

• Speech-Language Pathologist in Clackamas, OR
• Providers in Clackamas, 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 May 8, 2024; 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.