Active NPI
Iris Chin
- Speech-Language Pathologist
- Eugene, OR
National Provider Identifier
1891434817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16839
- Practice address
- 84 Centennial Loop
Eugene, OR 97401-7909 - Phone
- (541) 255-2681
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 16839 | OR | Primary |
Addresses
Primary practice location
84 Centennial Loop
Eugene, OR 97401-7909
Mailing address
19302 SE 31St Dr
Camas, WA 98607-9443
Phone (503) 799-3280
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 |
|---|---|---|---|
| 16839 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect the Dots Pediatric Therapy, Inc | Current | Accepting new patients |
Locations
84 Centennial Loop
Eugene, OR 97401
Phone (541) 255-2681
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Eugene, OR
- NPI 1285074633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1891434817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19302 SE 31ST DR",
"city": "CAMAS",
"state": "WA",
"postal_code": "986079443",
"telephone_number": "503-799-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CENTENNIAL LOOP",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017909",
"telephone_number": "541-255-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "IRIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "16839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.