Organization Active NPI

Eugene Therapies

Doing business as Eugene Speech Therapy

  • Speech-Language Pathologist
  • Eugene, OR
National Provider Identifier
1730802216
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EUGENE THERAPIES
Doing business as
Eugene Speech Therapy
Practice address
1445 Willamette St Ste 3
Eugene, OR 97401-4087
Phone
(541) 600-2028
Fax
(541) 843-2933
NPI assigned
Sep 21, 2022
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Corinne JarvisNPI 1306099460
Title
Ceo
Phone
(503) 420-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1445 Willamette St Ste 3
Eugene, OR 97401-4087

Mailing address

6314 SE 32ND Ave
Portland, OR 97202-8506
Phone (917) 374-5068

Other identifiers 1

IdentifierTypeStateIssuer
500809891MedicaidOR

Other names 1

  • Eugene Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1730802216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 SE 32ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028506",
            "telephone_number": "917-374-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WILLAMETTE ST STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014087",
            "telephone_number": "541-600-2028",
            "fax_number": "541-843-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-07-11",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-420-7744"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500809891",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eugene Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.