Individual provider Active NPI

Deshka Ramirez

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1811660475
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17850 Issued in OR
Practice address
772 NW 118TH Ave Unit 103
Portland, OR 97229-5966
Phone
(310) 218-7912
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CA
Speech-Language Pathologist 235Z00000X 17850 OR Primary

Addresses

Primary practice location

772 NW 118TH Ave Unit 103
Portland, OR 97229-5966

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (310) 218-7912

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33504CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 2, 2023 Accepting new patients
Select Rehabilitation, LLC Speech-Language Pathologist CurrentSince Dec 4, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 2, 2023 Accepting new patients
Graceful Speech and Swallow Solutions, LLC Speech-Language Pathologist CurrentSince Sep 15, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
New Life Healthcare, LLC PastSince May 15, 2022 Accepting new patients

Locations

1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

8915 SE Monterey Ave
Happy Valley, OR 97086
Phone (503) 526-8377

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

17309 NE Glisan St
Portland, OR 97230
Phone (503) 253-4920

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

18325 SW Pacific Hwy
Tualatin, OR 97062
Phone (503) 925-0544

Organizations & group practices 6

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1811660475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "310-218-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 NW 118TH AVE UNIT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295966",
            "telephone_number": "310-218-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "DESHKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17850",
            "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 Mar 11, 2025; 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.