Active NPI
Juli Ann Webster, CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1679613657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12800
- Practice address
- 5319 SW Westgate Drive
Suite 249
Portland, OR 97221 - Phone
- (971) 344-4949
- NPI assigned
- Feb 7, 2007
- 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 | 12800 | OR | Primary |
Addresses
Primary practice location
5319 SW Westgate Drive
Suite 249
Portland, OR 97221
Mailing address
4403 NE 32ND Place
Portland, OR 97211
Phone (971) 344-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0000WCKDK | Medicaid | OR |
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 |
|---|---|---|---|
| 12800 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1679613657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 NE 32ND PLACE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97211",
"telephone_number": "971-344-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 SW WESTGATE DRIVE",
"address_2": "SUITE 249",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97221",
"telephone_number": "971-344-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "JULI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R0000WCKDK",
"state": "OR"
}
],
"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 Feb 25, 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.