Individual provider Active NPI

Janelle Platt Laurila, MS, CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1588412795
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011836 Issued in OR
Practice address
4029 NE Tillamook St
Portland, OR 97212-5341
Phone
(503) 272-1867
NPI assigned
May 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011836 OR Primary

Addresses

Primary practice location

4029 NE Tillamook St
Portland, OR 97212-5341

Mailing address

1315 Division St
Camas, WA 98607-1558
Phone (503) 380-9400

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

LicenseStateTypeSpecialty
011836ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech 4 Kiddos LLC CurrentSince May 19, 2024 Accepting new patients

Locations

4029 NE Tillamook St
Portland, OR 97212
Phone (503) 249-0455

Organizations & group practices 1

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": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1588412795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 DIVISION ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071558",
            "telephone_number": "503-380-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125341",
            "telephone_number": "503-272-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURILA",
        "first_name": "JANELLE",
        "middle_name": "PLATT",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "011836",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 11, 2024; 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.