Active NPI
Virginia Foreman, SLP
- Speech-Language Pathologist
- Milton Freewater, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012876
- Practice address
- 120 Elzora St
Milton Freewater, OR 97862-9454 - Phone
- (541) 938-3318
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003806 | WA | |
| Speech-Language Pathologist | 235Z00000X | 012876 | OR | Primary |
Addresses
Primary practice location
120 Elzora St
Milton Freewater, OR 97862-9454
Mailing address
PO Box 577
Conway, WA 98238-0577
Phone (360) 920-2549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1417 SE 107TH Ave
Portland, OR 97216-3156
Phone (503) 408-0404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012876 | OR | MD | Speech-Language Pathologist |
| LL00003806 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists Outpatient, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Select Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042
4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129
1417 SE 107th Ave
Portland, OR 97216
Phone (503) 408-0404
9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363
Organizations & group practices 4
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.
-
- Clinic/Center
- Milwaukie, OR
- NPI 1952075962
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
OR, Speech-Language Pathologist
-
- Clinic/Center
- Canby, OR
- NPI 1437019015
Speech-Language Pathologist
-
- Clinic/Center
- Lake Oswego, OR
- NPI 1467241406
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1457569717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577",
"city": "CONWAY",
"state": "WA",
"postal_code": "982380577",
"telephone_number": "360-920-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ELZORA ST",
"city": "MILTON FREEWATER",
"state": "OR",
"postal_code": "978629454",
"telephone_number": "541-938-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "VIRGINIA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003806",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "012876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton Freewater, OR
- Edson R Brewer
- Dinah Estraza Estrellanes, PT
- Evergreen Oregon Healthcare Orchards Rehabilitation, L.L.C.
- Evergreen Oregon Healthcare Orchards Retirement, L.L.C.
- Fire Inc
- Fresenius Medical Care Dialysis Services - Oregon, LLC
- Scott T Fry, M.D.
- Michael Lane Garton, O. D.
- Kimberly Ann Glover, RDH
- Taylor Rae Hamby, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.