Active NPI
John Phillip Pickering, MS-SLP
- Speech-Language Pathologist
- Aumsville, OR
National Provider Identifier
1821471087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15250
- Practice address
- 572 N 11TH St
Aumsville, OR 97325-9578 - Phone
- (503) 749-8040
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15250 | OR | Primary |
Addresses
Primary practice location
572 N 11TH St
Aumsville, OR 97325-9578
Mailing address
15532 SW Pacific Hwy # 133
Tigard, OR 97224-3598
Phone (503) 816-3508
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15250 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1821471087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15532 SW PACIFIC HWY # 133",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243598",
"telephone_number": "503-816-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 N 11TH ST",
"city": "AUMSVILLE",
"state": "OR",
"postal_code": "973259578",
"telephone_number": "503-749-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"credential": "MS-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aumsville, OR
- Chelsea R Lynch
- Alysa Kristine Merritt, CPM
- Moonstone Integrative Health a Nursing Professional Corporation
- Hannah Elizabeth Nelson, CHW
- Kathleen Rose Ott
- Theresa Ann Pitcairn, D.C.
- Sarah Pearl Pruett, CADC 1
- Ryan Ranit, DC
- Kirsten-Nikki Christine Rochefort, EPDH, RDH, BSDH
- Santiam Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.