NPIMap

Organization Active NPI

Cooperative Therapies NW

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1912329459
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13513 Issued in OR
Legal business name
COOPERATIVE THERAPIES NW
Practice address
7759 SW Cirrus Dr
Beaverton, OR 97008-5968
Phone
(503) 433-8085
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Sophie Hart
Title
Clinic Assistant and Credentialing
Phone
(503) 433-8085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 233731 OR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 13513 OR Primary

Addresses

Primary practice location

7759 SW Cirrus Dr
Beaverton, OR 97008-5968

Mailing address

7759 SW Cirrus Dr
Beaverton, OR 97008-5968
Phone (503) 433-8085

National Provider Directory

National Provider Directory

Locations

7759 SW Cirrus Dr
Beaverton, OR 97008
Phone (503) 433-8085

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1912329459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7759 SW CIRRUS DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085968",
            "telephone_number": "503-433-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7759 SW CIRRUS DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085968",
            "telephone_number": "503-433-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE THERAPIES NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "CLINIC ASSISTANT AND CREDENTIALING",
        "authorized_official_telephone_number": "503-433-8085"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "233731",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.