Mary Claire Borders

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14354636 Issued in OR

Practice address

11855 NE Glenn Widing Dr BLDG F
Portland, OR 97220-9057

Phone

(502) 939-3148

NPI assigned

Apr 26, 2024

Last updated

Apr 26, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1841046281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 NE GLENN WIDING DR BLDG F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209057",
            "telephone_number": "503-256-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 NE GLENN WIDING DR BLDG F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209057",
            "telephone_number": "502-939-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "14354636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Borden, LMT #18714
• Sebastian CC Borden
• Zachary Borden
• Mari Elizabeth Border, MS, CADCII
• Gregory Thomas Borders
• James Bordley V, M.D.
• Jessica Lynn Bordley, MD
• Dane M Borg, PSY.D.
• Keenan Gottlieb Borgardt, DC
• Bayleigh Borgen

• 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 Apr 26, 2024; 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.