Catherine Porycki, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16811 Issued in OR

Practice address

6530 SW 30TH Ave
Portland, OR 97239-1007

Phone

(503) 244-7533

NPI assigned

Aug 19, 2021

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)

Enrolled

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1821764879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-783-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SW 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391007",
            "telephone_number": "503-244-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORYCKI",
        "first_name": "CATHERINE",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Nicholas Portlock, LMT
• Joni Diane Portmann, R.D.H.
• Kelly Ann Portnoff, M.D.
• Ariel Elizabeth Porto, MD
• Heather Portus, DC
• Poscimur LLC
• Bradley Kenneth Poser, LPC, MS, CRC
• Jennifer M. Posey
• Positive Development for Youth and Families, Inc.
• Positive Medicine 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 Aug 19, 2021; 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.