Individual provider Active NPI

Lindsay Andreu, MS CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1720459092
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016354 Issued in OR
Practice address
17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078
Phone
(503) 894-1539
Fax
(971) 353-5182
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Speech-Language Pathologist 235Z00000X 016354 OR Primary

Addresses

Primary practice location

17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078

Mailing address

8814 N Seward Ave
Portland, OR 97217-7352
Phone (650) 996-7860

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

LicenseStateTypeSpecialty
016354ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwood Clinic LLC Speech-Language Pathologist PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1720459092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 N SEWARD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177352",
            "telephone_number": "650-996-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "503-894-1539",
            "fax_number": "971-353-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREU",
        "first_name": "LINDSAY",
        "name_prefix": "Miss",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016354",
            "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 Apr 8, 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.