Katie Mansoura

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14020 Issued in OR

Practice address

14645 SW Farmington Rd
Beaverton, OR 97007-2727

Phone

(503) 643-8626

NPI assigned

Mar 13, 2014

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

State licenses

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1376969485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 SW PASADENA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 SW FARMINGTON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970072727",
            "telephone_number": "503-643-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURA",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "14020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Mann
• Terrance Manning II, ND, RMSK, MA
• Ryan David Manns, MD
• Vishnu Manoranjan, MD
• Thomas H Manseau
• Bridgeter Manyanga
• Julianne Ruth Mara, LMT
• Michael G. Marcellus
• Krystal Anne Marcinkiewicz, MA, REGISTERED-INTER
• Bassem Marei, MASSAGE THERAPIST

• Speech-Language Pathologist in Beaverton, OR
• Providers in Beaverton, 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 Mar 13, 2014; 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.