Active NPI
Elise Jarvis
- Speech-Language Pathologist
- Coos Bay, OR
National Provider Identifier
1669300430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011513
- Practice address
- 1350 Teakwood Ave
Coos Bay, OR 97420-2537 - Phone
- (541) 269-1161
- Fax
- (541) 266-4040
- NPI assigned
- May 12, 2026
- Last updated
- May 12, 2026
- 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 | 011513 | OR | Primary |
Addresses
Primary practice location
1350 Teakwood Ave
Coos Bay, OR 97420-2537
Mailing address
1350 Teakwood Ave
Coos Bay, OR 97420-2537
Phone (541) 269-1161
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 |
|---|---|---|---|
| 011513 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1669300430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 TEAKWOOD AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202537",
"telephone_number": "541-269-1161",
"fax_number": "541-266-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 TEAKWOOD AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202537",
"telephone_number": "541-269-1161",
"fax_number": "541-266-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "011513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.