Ellen Lynch Perez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015790 Issued in OR

Practice address

8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126

Phone

(877) 755-8940

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Kidscare Home Health of Oregon LLC

  • Home Health Agency
  • Beaverton, OR
  • NPI 1205446135
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1750164570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153119",
            "telephone_number": "503-516-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 SW CASCADE AVE STE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087126",
            "telephone_number": "877-755-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH PEREZ",
        "first_name": "ELLEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Community Services Northwest
• Jamie Lutz-Janway, LPN
• Phuong Thai Luu, DMD
• Tyler Lyman
• Lymphedema Solutions NW
• Mary Lyons, MD
• Thomas W Lyttle, PT
• Jing Cheng Ma, PHARM D.
• Corey Maberry
• Janine M. Macdonald, D.C.

• All providers in Beaverton, OR
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.