Individual provider Active NPI

Sofia L Dorantes, CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1356078711
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16800 Issued in OR
Practice address
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone
(773) 554-4202
Fax
(503) 961-1723
NPI assigned
Aug 5, 2022
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 16800 OR Primary

Addresses

Primary practice location

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Mailing address

7216 SE 16TH Ave
Portland, OR 97202-5811
Phone (773) 554-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16800ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colmena Clinic Speech-Language Pathologist CurrentSince Nov 1, 2024 Accepting new patients

Locations

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1356078711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 SE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025811",
            "telephone_number": "773-554-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "773-554-4202",
            "fax_number": "503-961-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORANTES",
        "first_name": "SOFIA",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.