Mara Whitney McLoughlin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13526 Issued in OR

Practice address

2905 SE Grant St
Portland, OR 97214-5644

Phone

(503) 888-4949

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

Yes

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.

• Irl Social Skills

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1184457467
  NPD Authorized official

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1821377490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13638",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972130638",
            "telephone_number": "503-888-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SE GRANT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145644",
            "telephone_number": "503-888-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLOUGHLIN",
        "first_name": "MARA",
        "middle_name": "WHITNEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice McLeod, PHARMD
• Meredith McLeod
• Rhonda Helen McLeod
• Davonte Leonard McLin, RN
• Erin Katherine McLinden
• Justin Eugene McMahan
• Bryan McMahon, LAC
• Crystal McMahon, QMHP-R
• Douglas McMahon
• Jillian McMahon, LCSW

• 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 23, 2014; 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.