Active NPI
Briana D Surin-Torres
- Speech-Language Pathologist
- Salem, OR
National Provider Identifier
1629429394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15558
- Practice address
- 685 36TH Ave NE
Salem, OR 97301 - Phone
- (503) 371-8860
- Fax
- (503) 371-8772
- NPI assigned
- Jun 23, 2016
- 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 | 15558 | OR | Primary |
Addresses
Primary practice location
685 36TH Ave NE
Salem, OR 97301
Mailing address
685 36TH Ave NE
Salem, OR 97301-4741
Phone (503) 371-8860
Other practice location 1
820 Cottage St NE
Salem, OR 97301-2426
Phone (503) 399-1135
Other names 1
- Briana D Surin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15558 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1629429394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 36TH AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014741",
"telephone_number": "503-371-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 36TH AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-371-8860",
"fax_number": "503-371-8772"
}
],
"practiceLocations": [
{
"address_1": "820 Cottage St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973012426",
"country_code": "US",
"telephone_number": "503-399-1135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURIN-TORRES",
"first_name": "BRIANA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "SURIN",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.