Active NPI
Elizabeth Bort
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1801272067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17728
- Practice address
- 7204 SW Durham Road
Suite 100
Portland, OR 97224-7574 - Phone
- (503) 941-9869
- Fax
- (503) 352-5555
- NPI assigned
- Aug 10, 2015
- Last updated
- Oct 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17728 | OR | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
7204 SW Durham Road
Suite 100
Portland, OR 97224-7574
Mailing address
7204 SW Durham Road
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17728 | OR | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Tigard, OR
- NPI 1134595002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1801272067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7204 SW DURHAM ROAD",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247574",
"telephone_number": "503-941-9869",
"fax_number": "503-352-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7204 SW DURHAM ROAD",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247574",
"telephone_number": "503-941-9869",
"fax_number": "503-352-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORT",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17728",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.