Tobianne Sara De Goede, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06918 Issued in OR

Practice address

2032 NE Liberty St
Portland, OR 97211-5339

Phone

(206) 356-3379

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tobi Sara De Goede Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Meridian Park Hospital

  • General Acute Care Hospital
  • Tualatin, OR
  • NPI 1184647620

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1346842721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 NE LIBERTY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115339",
            "telephone_number": "206-356-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 NE LIBERTY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115339",
            "telephone_number": "206-356-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GOEDE",
        "first_name": "TOBIANNE",
        "middle_name": "SARA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016198",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "06918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdegoed@lhs.org",
            "affiliation": "Y",
            "endpointDescription": "Work email address",
            "affiliationName": "Legacy Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA information",
            "address_1": "19260 SW 65th Ave Ste 285",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970625708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TOBI",
            "last_name": "DE GOEDE",
            "middle_name": "SARA",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric De Bruyne, DPT
• Tamara Elizabeth Martinez De Capobianco, DOULA
• Jessica De Clerck
• Deane C De Fontes, MD
• Koenraad De Geest, MD
• Benjamin Patrick De Graff, D.M.D.
• Juliane De Grazia, LCPC
• Carlo De Gregorio
• Gene De Haan, M.D.
• Michael James De Hart

• 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 Aug 23, 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.