Active NPI
Laurie Patricia Terjeson
- Speech-Language Pathologist
- Pendleton, OR
National Provider Identifier
1659116499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11022
- Practice address
- 455 SW 13TH St
Pendleton Early Learning Center
Pendleton, OR 97801-1801 - Phone
- (541) 966-3353
- Fax
- (541) 966-3240
- NPI assigned
- Jun 25, 2024
- 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 | 11022 | OR | Primary |
Addresses
Primary practice location
455 SW 13TH St
Pendleton Early Learning Center
Pendleton, OR 97801-1801
Mailing address
Intermountain Esd
331 SE Byers Ave
Pendleton, OR 97801
Phone (541) 966-3141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1659116499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN ESD",
"address_2": "331 SE BYERS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-966-3141",
"fax_number": "541-966-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SW 13TH ST",
"address_2": "PENDLETON EARLY LEARNING CENTER",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978011801",
"telephone_number": "541-966-3353",
"fax_number": "541-966-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERJESON",
"first_name": "LAURIE",
"middle_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "11022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.