Ellingsen Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

ELLINGSEN SPEECH THERAPY, LLC

Practice address

8050 SW Warm Springs St
Suite 130
Tualatin, OR 97062-7424

Phone

(503) 564-0565

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Quinn Ellingsen, MS, CCC-SLP

Title

Owner/ Speech Language Pathologist

Phone

(503) 564-0565

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1679957419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 SW WARM SPRINGS ST",
            "address_2": "SUITE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627424",
            "telephone_number": "503-564-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SW WARM SPRINGS ST",
            "address_2": "SUITE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627424",
            "telephone_number": "503-564-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGSEN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ELLINGSEN",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OWNER/ SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-564-0565",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PROVIDER NPI",
            "identifier": "1568718013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PROVIDER NPI",
            "identifier": "1386054625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Hearing and Speech Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.