Active NPI
Lillian Kate Hallett, M.S., CF-SLP
- Speech-Language Pathologist
- Beaverton, OR
National Provider Identifier
1376293571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17146
- Practice address
- 14780 SW Osprey Dr Ste 285
Beaverton, OR 97007-8073 - Phone
- (503) 579-7327
- Fax
- (503) 974-0946
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17146 | OR | Primary |
Addresses
Primary practice location
14780 SW Osprey Dr Ste 285
Beaverton, OR 97007-8073
Mailing address
2110 NW Chrystal Dr
McMinnville, OR 97128-2553
Phone (503) 857-6435
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17146 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beech Street Speech and Language LLC | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Portland, OR
- NPI 1710585963
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1376293571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 NW CHRYSTAL DR",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282553",
"telephone_number": "503-857-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 SW OSPREY DR STE 285",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078073",
"telephone_number": "503-579-7327",
"fax_number": "503-974-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLETT",
"first_name": "LILLIAN",
"middle_name": "KATE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.