NPIMap

Organization Active NPI

Speech Therapy Associates

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1760660864
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11865 Issued in OR
Legal business name
SPEECH THERAPY ASSOCIATES
Practice address
12555 SW 3Rd St
Beaverton, OR 97005-0517
Phone
(503) 646-0837
Fax
(503) 643-5057
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Ian Powell, M.S. CCCNPI 1124231535
Title
Speech Pathologist
Phone
(503) 646-0837

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 11865 OR Primary

Addresses

Primary practice location

12555 SW 3Rd St
Beaverton, OR 97005-0517

Mailing address

12555 SW 3Rd St
Beaverton, OR 97005-0517
Phone (503) 646-0837

National Provider Directory

National Provider Directory

Locations

12555 SW 3rd St
Beaverton, OR 97005
Phone (503) 530-8097

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1760660864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050517",
            "telephone_number": "503-646-0837",
            "fax_number": "503-643-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050517",
            "telephone_number": "503-646-0837",
            "fax_number": "503-643-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "503-646-0837",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.