Fatima Sacirovic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17662 Issued in OR

Practice address

8643 NE Beech St
Portland, OR 97220-5012

Phone

(971) 225-4079

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1689396962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 NE BEECH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205012",
            "telephone_number": "971-225-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACIROVIC",
        "first_name": "FATIMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Sacane, LCSW, QMHP
• Taryn Sacchitella
• Sara Jane Sacco
• Susan Dane Saccomanno, ND, LAC
• Emilie Sachs
• Robert Leroy Sack, MD
• Allen Sacker, MD
• Lisa Marie Sacker, LPC ASSOCIATE
• Katie Sackett, FNP-C, MSN
• Gary Sacks, PH.D., P.C.

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.