Active NPI
Wesley L Chernin
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1831764638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015785
- Practice address
- 6723 SE 15TH Ave
#82832
Portland, OR 97202 - Phone
- (503) 509-6204
- NPI assigned
- May 24, 2021
- 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 | 015785 | OR | Primary |
Addresses
Primary practice location
6723 SE 15TH Ave
#82832
Portland, OR 97202
Mailing address
822 N Winchell St
Portland, OR 97217-1142
Phone (503) 509-6204
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 |
|---|---|---|---|
| 015785 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1831764638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 N WINCHELL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972171142",
"telephone_number": "503-509-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 SE 15TH AVE",
"address_2": "#82832",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97202",
"telephone_number": "503-509-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNIN",
"first_name": "WESLEY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "015785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.