Portland Public Schools

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PORTLAND PUBLIC SCHOOLS

Practice address

2732 NE Fremont St
Portland, OR 97212-2542

Phone

(503) 916-6063

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Lynn Doty, CCC-SLPNPI 1295030906

Title

Speech-Language Pathologist

Phone

(503) 916-6063

Specialties & licenses 1

Addresses

Locations

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.

• Kelli Doty, MA/CCC-SLP

  • Speech-Language Pathologist
  • Victoria, MN
  • NPI 1295030906
  NPD Authorized official
• Molly Clark, MED

  • School Counselor
  • Portland, OR
  • NPI 1649158486
  NPD
• Anna Tofel

  • School Counselor
  • Portland, OR
  • NPI 1376421115
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1811739550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N DIXON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271876",
            "telephone_number": "503-916-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122542",
            "telephone_number": "503-916-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-916-6063",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Psychological Assessments, LLC
• Portland Psychological Services
• Portland Psychotherapy Clinic
• Portland Psychotherapy Psychiatry LLC
• Portland Public Schools
• Portland Public Schools
• Portland Public Schools
• Portland Recovery Partners LLC
• Portland Rheumatology Clinic LLC
• Portland SE 10948 of Cascadia, LLC

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.