Active NPI
Sofie Ruse, M.A., CCC-SLP
- Speech-Language Pathologist
- Damascus, OR
National Provider Identifier
1588071625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13502
- Practice address
- 16479 SE Windswept Waters Dr
Damascus, OR 97089-9140 - Phone
- (503) 502-3013
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13502 | OR | Primary |
Addresses
Primary practice location
16479 SE Windswept Waters Dr
Damascus, OR 97089-9140
Mailing address
16479 SE Windswept Waters Dr
Damascus, OR 97089-9140
Phone (503) 502-3013
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13502 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1588071625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16479 SE WINDSWEPT WATERS DR",
"city": "DAMASCUS",
"state": "OR",
"postal_code": "970899140",
"telephone_number": "503-502-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16479 SE WINDSWEPT WATERS DR",
"city": "DAMASCUS",
"state": "OR",
"postal_code": "970899140",
"telephone_number": "503-502-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSE",
"first_name": "SOFIE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Damascus, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.