Active NPI
Joshua Booton
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1699095547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105281
- Practice address
- 13169 SE River Rd
Portland, OR 97222-9702 - Phone
- (503) 652-6685
- Fax
- (503) 652-6675
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- 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 | 105281 | OR | Primary |
Addresses
Primary practice location
13169 SE River Rd
Portland, OR 97222-9702
Mailing address
13169 SE River Rd
Portland, OR 97222-9702
Phone (503) 652-6685
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105281 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1699095547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13169 SE RIVER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972229702",
"telephone_number": "503-652-6685",
"fax_number": "503-652-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13169 SE RIVER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972229702",
"telephone_number": "503-652-6685",
"fax_number": "503-652-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTON",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "105281",
"primary": true
}
],
"identifiers": [],
"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 Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.