NPIMap

Organization Active NPI

Clackamas Speech LLC

  • Hearing and Speech Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1831581131
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
11741 Issued in OR
Legal business name
CLACKAMAS SPEECH LLC
Practice address
2305 SE Washington St Ste 102
Milwaukie, OR 97222-7647
Phone
(503) 654-1014
NPI assigned
Feb 23, 2015
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Heidii Ilona Roberts, CCCSLPNPI 1568601318
Title
SLP/Owner
Phone
(503) 654-1014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 11741 OR Primary

Addresses

Primary practice location

2305 SE Washington St Ste 102
Milwaukie, OR 97222-7647

Mailing address

2305 SE Washington St Ste 102
Milwaukie, OR 97222-7647
Phone (503) 654-1014

Other identifiers 1

IdentifierTypeStateIssuer
500656249MedicaidOR

National Provider Directory

National Provider Directory

Locations

2305 SE Washington St
Ste 102
Milwaukie, OR 97222
Phone (503) 654-1014

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1831581131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-654-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-654-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HEIDII",
        "authorized_official_middle_name": "ILONA",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "503-654-1014",
        "authorized_official_credential": "CCCSLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "OR",
            "license": "11741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500656249",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.