Speechease Travel Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECHEASE TRAVEL THERAPY

Practice address

1535 SW Clay St Apt 303
Portland, OR 97201-6126

Phone

(503) 217-4210

NPI assigned

Sep 1, 2019

Last updated

Sep 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Eddy, MA, CCC-SLP

Title

Co-Owner

Phone

(503) 217-4210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1396393401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE STE 1170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015881",
            "telephone_number": "503-217-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SW CLAY ST APT 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016126",
            "telephone_number": "503-217-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 1st Ave Ste 1170",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972015881",
            "country_code": "US",
            "telephone_number": "503-217-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECHEASE TRAVEL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-217-4210",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.