Active NPI
Zoe Kristin Freeman, MS, SLP-CCC
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1437570330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12226
- Practice address
- 6127 SE 87TH Ave
Portland, OR 97266-5325 - Phone
- (503) 307-4538
- NPI assigned
- Dec 18, 2013
- 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 | 12226 | OR | Primary |
Addresses
Primary practice location
6127 SE 87TH Ave
Portland, OR 97266-5325
Mailing address
6127 SE 87TH Ave
Portland, OR 97266-5325
Phone (503) 307-4538
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12226 | Other | OR | STATE OF OREGON SPEECH LANGUAGE PATHOLOGY LICENCE NUMBER |
| 12052494 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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 |
|---|---|---|---|
| 12226 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1437570330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6127 SE 87TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972665325",
"telephone_number": "503-307-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6127 SE 87TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972665325",
"telephone_number": "503-307-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ZOE",
"middle_name": "KRISTIN",
"credential": "MS, SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON SPEECH LANGUAGE PATHOLOGY LICENCE NUMBER",
"identifier": "12226",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12052494",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 Dec 18, 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.