Active NPI
Sarah Sueko-Okimoto Hultquist, MS
- Speech-Language Pathologist
- Clackamas, OR
National Provider Identifier
1710731823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16758
- Practice address
- 13455 SE 97TH Ave
Clackamas, OR 97015-8662 - Phone
- (503) 675-4000
- NPI assigned
- Apr 15, 2024
- 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 | 16758 | OR | Primary |
Addresses
Primary practice location
13455 SE 97TH Ave
Clackamas, OR 97015-8662
Mailing address
28740 SW Parkway Ave Apt D2
Wilsonville, OR 97070-9765
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16758 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1710731823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28740 SW PARKWAY AVE APT D2",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13455 SE 97TH AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158662",
"telephone_number": "503-675-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTQUIST",
"first_name": "SARAH",
"middle_name": "SUEKO-OKIMOTO",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "16758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.