Individual provider Active NPI

Jennifer Lorek, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Tualatin, OR
National Provider Identifier
1437307238
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13400 Issued in OR
Practice address
18959 SW 84TH Ave
Tualatin, OR 97062-9477
Phone
(503) 563-5438
Fax
(503) 563-5281
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17042 CA
Speech-Language Pathologist 235Z00000X LL60197767 WA
Speech-Language Pathologist 235Z00000X 13400 OR Primary

Addresses

Primary practice location

18959 SW 84TH Ave
Tualatin, OR 97062-9477

Mailing address

18959 SW 84TH Ave
Tualatin, OR 97062-9477
Phone (503) 563-5438

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 Arts

State licenses

LicenseStateTypeSpecialty
13400ORMDMassage Therapist
LL60197767WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lorek Speech Therapy, LLC Speech-Language Pathologist Past Accepting new patients
Play to Grow Developmental Therapy Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1437307238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18959 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "503-563-5438",
            "fax_number": "503-563-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18959 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "503-563-5438",
            "fax_number": "503-563-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREK",
        "first_name": "JENNIFER",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17042",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60197767",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.