Active NPI
Quinn Ellingsen
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1386054625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13466
- Practice address
- 10300 SW Greenburg Rd
One Lincoln Center, Suite 410
Portland, OR 97223-5410 - Phone
- (503) 517-8555
- Fax
- (503) 517-8556
- NPI assigned
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 13466 | OR | Primary |
Addresses
Primary practice location
10300 SW Greenburg Rd
One Lincoln Center, Suite 410
Portland, OR 97223-5410
Mailing address
10300 SW Greenburg Rd
One Lincoln Center, Suite 410
Portland, OR 97223-5410
Phone (503) 517-8555
Other names 1
- Quinn Busby
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13466 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1386054625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW GREENBURG RD",
"address_2": "ONE LINCOLN CENTER, SUITE 410",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235410",
"telephone_number": "503-517-8555",
"fax_number": "503-517-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW GREENBURG RD",
"address_2": "ONE LINCOLN CENTER, SUITE 410",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235410",
"telephone_number": "503-517-8555",
"fax_number": "503-517-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSEN",
"first_name": "QUINN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "QUINN",
"last_name": "BUSBY",
"code": "1",
"type": "Former Name"
}
]
}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 May 7, 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.