Speech Pathology Associates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10394 Issued in OR

Legal business name

SPEECH PATHOLOGY ASSOCIATES

Practice address

5905 SE Powell Valley Rd
Gresham, OR 97080-1919

Phone

(503) 665-1151

Fax

(503) 669-1986

NPI assigned

Nov 17, 2006

Last updated

Jul 2, 2008By 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

Blaise Scollard

Title

Owner

Phone

(503) 665-1151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1578637096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82608",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820608",
            "telephone_number": "503-665-1151",
            "fax_number": "503-669-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 SE POWELL VALLEY RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801919",
            "telephone_number": "503-665-1151",
            "fax_number": "503-669-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SCOLLARD",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-665-1151"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "10394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286005",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Soule, PT, DPT
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• Speech-Language Pathologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.